Healthcare Provider Details

I. General information

NPI: 1316414659
Provider Name (Legal Business Name): ATA INVESTMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ISLAND AVE STE 3
PHILADELPHIA PA
19153-2326
US

IV. Provider business mailing address

113 N CONCORD AVE
HAVERTOWN PA
19083-5018
US

V. Phone/Fax

Practice location:
  • Phone: 610-316-3272
  • Fax: 610-789-2964
Mailing address:
  • Phone: 610-316-3272
  • Fax: 610-789-2964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GIANGIULIO
Title or Position: PRESIDENT/OWNER
Credential: PT
Phone: 610-316-3272