Victoria Hensley
Individual provider Active NPI Physical Therapy Assistant · Cochran, GA
NPI 1043787716 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1043787716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA004084 (GA)
- Practice address
- 134 S 6TH St
Cochran, GA 31014-6626 - Phone
- (478) 934-7682
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA004084 | GA | MD | Physical Therapy Assistant |
| A5311 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5311 | NC | |
| Physical Therapy Assistant | 225200000X | PTA004084 | GA | Yes |
Addresses
Primary practice location
134 S 6TH St
Cochran, GA 31014-6626
Mailing address
425 Sycamore Dr
Eastman, GA 31023-3791
Other providers in Cochran, GA
- Damia K Gunter
- George E Harrison
- Heartland EMS Inc
- Heartland EMS Inc
- Robert F Heath
- Elizabeth Hortman
- Robin Hunter
- Lewis Glenn Jones
- Ashley Lewis
- Lifeline EMS LLC
All providers in Cochran, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.