MEDICARE: ATA INVESTMENTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251E1200X	Ergonomics Physical Therapist
2	2251G0304X	Geriatric Physical Therapist
3	2251N0400X	Neurology Physical Therapist
4	2251S0007X	Sports Physical Therapist
5	2251X0800X	Orthopedic Physical Therapist
6	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316414659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATA INVESTMENTS, LLC

Provider Business Mailing Address
First Line	:	113 N CONCORD AVE
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-5018
Country	:	US
Telephone Number	:	610-316-3272
Fax Number	:	610-789-2964

Provider Business Practice Location Address
First Line	:	2801 ISLAND AVE STE 3
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2326
Country	:	US
Telephone Number	:	610-316-3272
Fax Number	:	610-789-2964

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DANIEL GIANGIULIO
Credential	:	PT
Telephone Number	:	610-316-3272

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

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Directions to “ATA INVESTMENTS, LLC ” Practice Location

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