Scott Richardson
Individual provider Active NPI Physical Therapy Assistant · Axton, VA
NPI 1407265689 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1407265689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306603912 (VA)
- Practice address
- 113 Linnies CT
Axton, VA 24054-1729 - Phone
- (276) 806-6278
- NPI assigned
- Aug 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2306603912 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306603912 | VA | Yes |
Addresses
Primary practice location
113 Linnies CT
Axton, VA 24054-1729
Mailing address
113 Linnies CT
Axton, VA 24054-1729
Phone (276) 806-6278
Other providers in Axton, VA
- Mike'S Medical Transport LLC
- Pamela Yvonne Mitchell
- Alesha Perkins
- Melissa Ramey-Harris
- Amy Richardson
- Pamela Sue Robertson
- Sandy River Family Care Inc
- Smith'S Home for Adults
- Tender Loving Care
- The Barrow Center
All providers in Axton, 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 Aug 12, 2014. 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.