Jeffrey Mason McWilliams, PT
Individual provider Active NPI Physical Therapist · Covington, VA
NPI 1447426515 · NPPES record last updated May 7, 2008
Key facts
- NPI
- 1447426515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305006238 (VA)
- Practice address
- 214 W Main St
Covington, VA 24426-1543 - Phone
- (540) 962-7112
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|
| 2305006238 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006238 | VA | Yes |
Addresses
Primary practice location
214 W Main St
Covington, VA 24426-1543
Mailing address
2849 Tully Dr
Roanoke, VA 24019-3417
Phone (540) 562-5432
Other providers in Covington, VA
- Gregory Charles Mays
- Lindsey McClintic
- Elizabeth J McCoy
- Mark W McCoy
- Sandra Lois McHenry
- Merryfield
- Mizpahlink International LLC
- Wanda Moore
- Michael T Moran
- Moveallpro LLC
All providers in Covington, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2008. 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.