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

Itali Herron, PTA

Individual provider Physical Therapy Assistant · NPI 1053086959

Itali Herron, PTA is a Physical Therapy Assistant in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
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

3415 Williams Dr Ste 145
Georgetown, TX 78628-2886
Phone: (512) 887-4544
Fax: (512) 887-4542
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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 2161087 (TX)

Record details

NPI number1053086959
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

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