Melissa Payne

Individual provider Active NPI Physical Therapy Assistant · Onancock, VA

NPI 1043585987 · NPPES record last updated Mar 10, 2012

Key facts

NPI
1043585987
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306001534 (VA)
Practice address
18132 Leatherbury Dr
Onancock, VA 23417-2893
Phone
(757) 787-7552
NPI assigned
Mar 10, 2012
Sex
Female
Sole proprietor
Yes

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
2306001534VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306001534 VA Yes

Addresses

Primary practice location

18132 Leatherbury Dr
Onancock, VA 23417-2893

Mailing address

18132 Leatherbury Dr
Onancock, VA 23417-2893
Phone (757) 787-7552

Other providers in Onancock, VA

All providers in Onancock, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.