Provider Demographics
NPI:1619299518
Name:PIERSON, AARON ONGELO (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ONGELO
Last Name:PIERSON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 KAUFMAN RD
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2168
Mailing Address - Country:US
Mailing Address - Phone:469-343-2874
Mailing Address - Fax:469-519-0900
Practice Address - Street 1:317 CENTRAL EXPY N
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2631
Practice Address - Country:US
Practice Address - Phone:469-343-2874
Practice Address - Fax:469-519-0900
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX272715YPMPOtherMEDICARE PTAN