Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Christopher James Mammola, PTA

Individual provider Physical Therapy Assistant · NPI 1417271818

Mr. Christopher James Mammola, PTA is a Physical Therapy Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
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

1413 W Moyamensing Ave
Philadelphia, PA 19145
Phone: (215) 639-2555
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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 TEI002589 (PA)

Record details

NPI number1417271818
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 15, 2010
Last updated in NPPESOctober 17, 2012

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