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

Earl Ambrozak, PTA

Individual provider Physical Therapy Assistant · NPI 1578273538

Earl Ambrozak, PTA is a Physical Therapy Assistant in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2022
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

1111 Fennimore St
Fairmont, WV 26554-1538
Phone: (304) 365-2322
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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 001884 (WV)

Record details

NPI number1578273538
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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