Jessie Geneva Matney, LPTA

Individual provider Active NPI Physical Therapist · Grundy, VA

NPI 1174765341 · NPPES record last updated Apr 2, 2009

Key facts

NPI
1174765341
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1103 Plaza Dr Ste H
Grundy, VA 24614-6625
Phone
(276) 935-5525
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan Therapy Services, Inc. Physical Therapist Past
since Nov 13, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

1103 Plaza Dr Ste H
Grundy, VA 24614-6625

Mailing address

1103H Plaza Drive
Grundy, VA 24614
Phone (276) 935-5525

Other providers in Grundy, VA

All providers in Grundy, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.