Linda Bea Allen Nicewarner, LPTA
Individual provider Active NPI Physical Therapy Assistant · Middletown, VA
NPI 1124374376 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1124374376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306000905 (VA)
- Practice address
- 544 Jacksons Chase Dr
Middletown, VA 22645-3978 - Phone
- (540) 622-7247
- NPI assigned
- Jul 25, 2012
- 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 |
|---|---|---|---|
| 2306000905 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306000905 | VA | Yes |
Addresses
Primary practice location
544 Jacksons Chase Dr
Middletown, VA 22645-3978
Mailing address
544 Jacksons Chase Dr
Middletown, VA 22645-3978
Phone (540) 622-7247
Other providers in Middletown, VA
- Connie Sue Keplinger-Vetter
- Maren Rachel Konrady
- Lutheran Family Services of Virginia, Inc.
- Middletown Physical Therapy PLLC
- Emily Joy Miller
- Ashlee Parks
- Providence Midwifery
- Mark J Rohani
- Emma Simon
- Dawn Partlow Southerly
All providers in Middletown, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2012. 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.