Individual provider · Type 1 NPI

Robert John Uzumecki Jr., PTA

Physical Therapy Assistant · Ottawa, IL

NPI number 1871204875 Active

Practice location

1100 E Norris Dr
Ottawa, IL 61350-1604

Mailing address

1706 Sunset Dr
Peru, IL 61354-1221

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160006319 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1871204875

Robert John Uzumecki Jr., PTA's National Provider Identifier is 1871204875, issued on Dec 9, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ottawa, IL. The record was last updated on May 11, 2026.