Individual provider · Type 1 NPI

Jimmy Bhadresh Kumar Kotak, PTA

Physical Therapy Assistant · Livonia, MI

NPI number 1952761595 Active

Practice location

29125 Buckingham St, Suite 2A
Livonia, MI 48154-4480

Call (248) 565-4000 Map

Fax (248) 565-4030

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502004838 (MI)

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 1952761595

Jimmy Bhadresh Kumar Kotak, PTA's National Provider Identifier is 1952761595, issued on Feb 24, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Livonia, MI. The record was last updated on Feb 24, 2016.