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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANSHUMALA M SHIVAKOTY

Active Sole Proprietor

ANSHUMALA M SHIVAKOTY is a Physical Therapy Assistant healthcare provider located in MACUNGIE, Pennsylvania. NPI 1720351604 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MACUNGIE, PA

Registration Details

NPI Number
1720351604
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2012 (14.331242611718 yrs)
Last Updated
Sep 20, 2024
Licenses
2305206211 (VA)
24749 (MD)
PT023512 (PA)
Sole Proprietor
Yes

Practice Information

Address
4531 STONEBRIDGE DR
MACUNGIE, PA, 180628715
Browse PA providers · Browse ZIP 18062
Phone
2252295145
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MACUNGIE, PA

Name Credential NPI
MRS. DESIREE NICOLE MCCASLIN DPT 1548219736
AMY B CONNER PT 1861527871
MRS. NICOLE MARIE KENDRICK PT 1023145786
MEGAN L OBERDOESTER PT 1306975388
SHERRY ANNE STAPLES PT 1427172790
MISS JOY BITANGCOL BALLINAS RPT 1891021309
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.