MEDICARE: JOSHUA R ATKINSON PTA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	CP029887A	CO
2	225200000X	Physical Therapy Assistant	PTA-014529	AZ

General Provider Information

NPI Number	:	1346009164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA R ATKINSON PTA

Provider Business Mailing Address
First Line	:	1538 E GREENWAY ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-4419
Country	:	US
Telephone Number	:	480-388-7842
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 N POWER RD STE 133
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2911
Country	:	US
Telephone Number	:	480-625-6693
Fax Number	:	480-304-3269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	03/14/2024

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Directions to “ JOSHUA R ATKINSON PTA” Practice Location

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