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

Mr. Edward Wormold, PTA

Individual provider Physical Therapy Assistant · NPI 1316917560

Mr. Edward Wormold, PTA is a Physical Therapy Assistant in Southampton, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

167 Main St
Southampton, NY 11968-4823
Phone: (631) 283-4190
Fax: (631) 283-7650
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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 003464-1 (NY)

Record details

NPI number1316917560
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 13, 2026
Mailing address18 Palo Alto Dr, Hampton Bays, NY 11946-2811

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