Michelle Firebaugh, M.S., P.T.
Individual provider Active NPI Physical Therapist · Hardy, VA
NPI 1053872697 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1053872697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305004912 (VA)
- Practice address
- 12970 Booker T Washington Hwy
Hardy, VA 24101-3953 - Phone
- (540) 489-6368
- NPI assigned
- Mar 27, 2019
- 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)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004912 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004912 | VA | Yes |
Addresses
Primary practice location
12970 Booker T Washington Hwy
Hardy, VA 24101-3953
Mailing address
1496 S Main St
Rocky Mount, VA 24151-5961
Phone (540) 589-3126
Other providers in Hardy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. 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.