Individual provider · Type 1 NPI

Maggi Crockett, PTA

Physical Therapy Assistant · Alsip, IL

NPI number 1962852582 Active

Practice location

12052 S Cicero Ave
Alsip, IL 60803-2313

Fax (708) 489-9961

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007483 (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 1962852582

Maggi Crockett, PTA's National Provider Identifier is 1962852582, issued on Jun 14, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Alsip, IL. The record was last updated on Jun 14, 2016.