Individual provider · Type 1 NPI

Allan S. Self

Physical Therapy Assistant · Mesa, AZ

NPI number 1902774136 Active

Practice location

10861 E Baseline Rd Ste A105
Mesa, AZ 85209-7921

Mailing address

2721 W Cactus Wren St
Apache Junction, AZ 85120-5261

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-012176 (AZ)

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 1902774136

Allan S. Self's National Provider Identifier is 1902774136, issued on Oct 28, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 28, 2025.