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

Olivia Petrasek, PA-C

Individual provider Physician Assistant · NPI 1558197350

Olivia Petrasek, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 Washington Ave
Philadelphia, PA 19147-4717
Phone: (215) 339-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065871 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA065871 (PA)

Record details

NPI number1558197350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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