JESSE KUSMULYANA PTA
NPI 1467010082
Physical Therapy Assistant in Peridot, AZ
About Jesse Kusmulyana Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE KUSMULYANA PTA (NPI 1467010082) is an individual physical therapy assistant in Peridot, Arizona, licensed in Arizona (PTA-013887) and active in the NPI registry since May 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PERIDOT, AZ 85542
PERIDOT, AZ 85542
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jesse Kusmulyana's NPI number?
The NPI number for Jesse Kusmulyana is 1467010082. It was assigned to this individual provider in the NPPES registry on May 29, 2019.
Where is Jesse Kusmulyana located?
Jesse Kusmulyana practices at 103 Medicine Way Rd, Peridot, AZ 85542. The listed phone number is (928) 475-1360.
What is Jesse Kusmulyana's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jesse Kusmulyana was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.