V. Philip Gainsback, PT
Individual provider Active NPI Physical Therapist · Bridgewater, VA
NPI 1447598792 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1447598792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305203247 (VA)
- Practice address
- 406 N Main St
Bridgewater, VA 22812-1621 - Phone
- (540) 628-8638
- NPI assigned
- Jan 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203247 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Forum Physical Therapy, PC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203247 | VA | Yes |
Addresses
Primary practice location
406 N Main St
Bridgewater, VA 22812-1621
Mailing address
14 Field Court
Bridgewater, VA 22812
Phone (540) 820-2348
Other practice location 1
3505 White Oak Dr
Harrisonburg, VA 22801-5336
Phone (540) 820-2348
Other providers in Bridgewater, VA
- Dorothy Marie Easter
- Yetbarek Fekadu
- Heather Abbe Fincham
- Daniel Travante Flowe
- Tara C Fulk
- Frank Garbato
- William A Gardner
- Pamela R Gipson
- Tina B Hahn
- Charles William Hale IV
All providers in Bridgewater, 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 Dec 13, 2023. 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.