Active NPIIndividual provider

Diego E Aguillon, PTA

Physical Therapy Assistant in Bridgeport, Connecticut

NPI Number1194385682
Practice location
4200 Park Ave, Bridgeport, CT 06604-1049
Fax
—
Last updated
June 17, 2019

Diego Ernesto Aguillon is a Physical Therapy Assistant based in Bridgeport, CT. Diego Ernesto Aguillon practices in Bridgeport, CT and has the professional credentials of PTA. The NPI Number for Diego Ernesto Aguillon is 1194385682 and holds a License No. 1408 (CT). The current practice location address for Diego Ernesto Aguillon is 4200 Park Ave, Bridgeport, CT 06604-1049 and can be reached out via phone at 203-365-6443.

Provider Profile Details

NPI Number
1194385682
Provider Name
Diego Ernesto Aguillon
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
4200 Park Ave, Bridgeport, CT 06604-1049
Phone Number
203-365-6443
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2019
Last Update Date
June 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
4200 Park Ave
Bridgeport, CT 06604-1049
Zip
06604-1049
Phone Number
203-365-6443
Bridgeport, CT 06604Get directions →

Provider Business Mailing Address Details

Address
4200 Park Ave
Bridgeport, CT 06604-1049
City
Bridgeport
State
CT
Zip
06604-1049
Phone Number
203-365-6443

License Information

License Number
1408
License State
CT
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diego E Aguillon, PTA?

The NPI number of Diego E Aguillon, PTA is 1194385682. It was assigned on June 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Diego E Aguillon, PTA?

Diego E Aguillon, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 1408.

Where does Diego E Aguillon, PTA practice?

The practice location is 4200 Park Ave, Bridgeport, CT 06604-1049. The office can be reached at 203-365-6443 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194385682 directly on the NPPES registry website.

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