Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM A NESDILL, P.T.
ActivePhysical Therapy Assistant · MASSAPEQUA PK, NY
Registration Details
- NPI Number
- 1770817843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2009 (16.61103465671 yrs)
- Last Updated
- Dec 8, 2011
- License
-
014385-1 (NY)
Practice Information
- Address
-
1 CARMANS RDMASSAPEQUA PK, NY, 117621438Browse NY providers · Browse ZIP 11762
- Phone
- 5166086200
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.