Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric Conrad, PTA

Individual provider Physical Therapy Assistant · NPI 1770024648

Eric Conrad, PTA is a Physical Therapy Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4221 Boone St Apt 2
Philadelphia, PA 19128-5002
Phone: (570) 295-8193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI004658 (PA)

Record details

NPI number1770024648
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017

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