Individual provider · Type 1 NPI

Tammy Baccus, PTA, DOR

Physical Therapy Assistant · Fuquay Varina, NC

NPI number 1912574765 Active

Practice location

1221 Broad St
Fuquay Varina, NC 27526-3602

Call (919) 424-5080 Map

Mailing address

103 Bermuda Green Dr
Durham, NC 27703-2921

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3943 (NC)

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 1912574765

Tammy Baccus, PTA, DOR's National Provider Identifier is 1912574765, issued on Jun 9, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fuquay Varina, NC. The record was last updated on Jun 9, 2021.