Kevin L Littreal, LICENSED PHYSICAL TH
Individual provider Active NPI Physical Therapy Assistant · Chilhowie, VA
NPI 1346483310 · NPPES record last updated Apr 7, 2009
Key facts
- NPI
- 1346483310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306602586 (VA)
- Practice address
- 104 N. Sanders Avenue
Heartland Rehabilitation Services of Virginia, Inc.
Chilhowie, VA 24319 - Phone
- (276) 646-8774
- Fax
- (276) 646-5576
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| 2306602586 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602586 | VA | Yes |
Addresses
Primary practice location
104 N. Sanders Avenue
Heartland Rehabilitation Services of Virginia, Inc.
Chilhowie, VA 24319
Mailing address
P.O. Box 1657
104 N. Sanders Avenue Heartland Rehabilitation Services
Chilhowie, VA 24319
Phone (276) 646-8774
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- Elizabeth H. Martin
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All providers in Chilhowie, 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 Apr 7, 2009. 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.