NPI 1316917560

Edward Wormold, PTA

Practitioner Physical Therapy Assistant Southampton, NY

Practice location

Address: 167 Main St, Southampton, NY 11968-4823
Phone: (631) 283-4190
Fax: (631) 283-7650
Mailing address: 18 Palo Alto Dr, Hampton Bays, NY 11946-2811

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 003464-1 (NY)

Other Physical Therapy Assistant providers in New York →

Registry record

NPI: 1316917560
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.