IndividualActive
Alycia Yax, PTA
NPI 1306563952 · Physical Therapy Assistant · Grand Island, NY
Provider details
- NPI number
- 1306563952
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 013466-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1801 Grand Island Blvd
Grand Island, NY 14072-2249
Phone: (716) 773-4323
Approximate (ZIP-level) locationGet directions
Mailing address
10789 Tinkham Rd
Darien Center, NY 14040-9757
Registry dates
- Enumerated
- 2022-10-25
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.