Individual provider · Type 1 NPI

Brian Udell Foss, PTA

Physical Therapy Assistant · Rockford, IL

NPI number 1881021640 Active

Practice location

5668 Strathmoor Dr
Rockford, IL 61107-5110

Call (815) 229-5200 Map

Mailing address

5259 Trafford Dr
Loves Park, IL 61111-3484

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.003092 (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 1881021640

Brian Udell Foss, PTA's National Provider Identifier is 1881021640, issued on Oct 10, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rockford, IL. The record was last updated on Oct 11, 2013.