Provider Demographics
NPI:1982277232
Name:MARGIOTTA, ABBEY (PTA)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:MARGIOTTA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3871 TERRACE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-5235
Mailing Address - Country:US
Mailing Address - Phone:410-456-9621
Mailing Address - Fax:
Practice Address - Street 1:1400 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1254
Practice Address - Country:US
Practice Address - Phone:610-645-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE012509225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant