Active NPIIndividual provider

Mrs. Ellen K Juzba, PTA

Physical Therapy Assistant in Beulaville, North Carolina

NPI Number1467528141
Practice location
159 Crossover Road, Beulaville, NC 28518
Fax
910-298-6405
Last updated
August 4, 2021

Ellen K Juzba is a Physical Therapy Assistant based in Beulaville, NC. Ellen K Juzba practices in Beulaville, NC and has the professional credentials of PTA. The NPI Number for Ellen K Juzba is 1467528141 and holds a License No. 940 (MA). The current practice location address for Ellen K Juzba is 159 Crossover Road, Beulaville, NC 28518 and can be reached out via phone at 910-298-6455 and via fax at 910-298-6405.

Provider Profile Details

NPI Number
1467528141
Provider Name
Ellen K Juzba
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
159 Crossover Road, Beulaville, NC 28518
Phone Number
910-298-6455
Fax Number
910-298-6405
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Other Names
Mrs. Ellen K Matuza (Other Name)
Provider Enumeration Date
November 27, 2006
Last Update Date
August 4, 2021
Certification Date
August 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Crossover Road
Beulaville, NC 28518
Zip
28518
Phone Number
910-298-6455
Fax Number
910-298-6405
Beulaville, NC 28518Get directions →

Provider Business Mailing Address Details

Address
300 Stafford St
360
Springfield, MA 01104-3581
City
Springfield
State
MA
Zip
01104-3581
Phone Number
413-734-8440
Fax Number
413-731-6703

License Information

License Number
940
License State
MA
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 Mrs. Ellen K Juzba, PTA?

The NPI number of Mrs. Ellen K Juzba, PTA is 1467528141. It was assigned on November 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ellen K Juzba, PTA?

Mrs. Ellen K Juzba, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 940.

Where does Mrs. Ellen K Juzba, PTA practice?

The practice location is 159 Crossover Road, Beulaville, NC 28518. The office can be reached at 910-298-6455 (phone) or 910-298-6405 (fax).

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 1467528141 directly on the NPPES registry website.

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