MEDICARE: ADITI IYANGAR 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	014856	NY

General Provider Information

NPI Number	:	1396684973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADITI IYANGAR PTA

Provider Business Mailing Address
First Line	:	319 SUMMIT AVE APT 17
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2462
Country	:	US
Telephone Number	:	646-733-7978
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W 45TH ST FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4905
Country	:	US
Telephone Number	:	212-867-1111
Fax Number	:

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

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ ADITI IYANGAR PTA” Practice Location

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