Jennifer Barnes-Maddox
Individual provider Active NPI Pediatric Physical Therapist · Chesterfield, VA
NPI 1467009472 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1467009472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- Practice address
- 6801 Lucy Corr CT
Chesterfield, VA 23832-6657 - Phone
- (804) 768-7318
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Yes |
Addresses
Primary practice location
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Mailing address
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 768-7318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497884969 | Medicaid | VA |
Other providers in Chesterfield, VA
- Kimberly L Baker
- Meena E Bala
- Demetrius Baldwin
- Keith L Banks
- Theodor Barclay V
- Nancy G. Barnes
- Lawrence V Barnett
- Dene Bateman
- Judith E Beauvoir
- Brittany Montana Terace Bell
All providers in Chesterfield, VA · Pediatric 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 Aug 23, 2019. 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.