Jonathan Daniel Calloway, PT, DPT

Individual provider Active NPI Physical Therapist · Bedford, VA

NPI 1013472810 · NPPES record last updated Feb 5, 2019

Key facts

NPI
1013472810
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305207073 (VA)
Practice address
1229 County Farm Rd
Bedford, VA 24523-3131
Phone
(540) 586-7658
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2305207073VAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207073 VA Yes

Addresses

Primary practice location

1229 County Farm Rd
Bedford, VA 24523-3131

Mailing address

25 Fox Run CT
Collinsville, VA 24078-1800
Phone (336) 214-0723

Other providers in Bedford, VA

All providers in Bedford, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.