Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN TIRTAPUTRA, DPT
Active Sole ProprietorDR. EVAN TIRTAPUTRA, DPT is a Physical Therapy Assistant healthcare provider located in ELKTON, Maryland. NPI 1083001234 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ELKTON, MD
Registration Details
- NPI Number
- 1083001234
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2015 (11.278580017479 yrs)
- Last Updated
- Nov 26, 2019
- Licenses
-
PT-3844 (ID)27800 (MD)J1-0003931 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 W HIGH ST STE 3ELKTON, MD, 21921Browse MD providers · Browse ZIP 21921
- Phone
- 4103927027
- Fax
- 4103925768
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ELKTON, MD
| Name | Credential | NPI |
|---|---|---|
| MICHAEL STEPHEN LATSCH | — | 1821084955 |
| MS. MELISSA SUE CARMAN | MPT, ATC, CHT | 1932160793 |
| HEATHER BROWNE | MPT | 1316994619 |
| JUSTIN WHITE | PT | 1790732980 |
| RALPH FRANCESCHINI | MPT | 1477589364 |
| STEVE MONTALVO | DPT | 1154358224 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.