Individual provider · Type 1 NPI

Glenn Austin Petraitis, PTA

Physical Therapy Assistant · Garden City, NY

NPI number 1881403079 Active

Practice location

800 E Gate Blvd
Garden City, NY 11530-2105

Call (831) 849-6000 Map

Mailing address

18 Tony Dr
Kings Park, NY 11754-5036

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X014170-01 (NY)

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 1881403079

Glenn Austin Petraitis, PTA's National Provider Identifier is 1881403079, issued on Jan 2, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Garden City, NY. The record was last updated on Jan 2, 2025.