Melissa Ann Smith, LPTA

Individual provider Active NPI Physical Therapy Assistant · Chatham, VA

NPI 1477010643 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1477010643
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306603055 (VA)
Practice address
100 Rorer St
Chatham, VA 24531-5455
Phone
(434) 432-0471
NPI assigned
Feb 25, 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

State licenses

LicenseStateTypeSpecialty
2306603055VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603055 VA Yes

Addresses

Primary practice location

100 Rorer St
Chatham, VA 24531-5455

Mailing address

1172 Gammons Lake Rd
Chatham, VA 24531-4399
Phone (434) 251-2575

Other providers in Chatham, VA

All providers in Chatham, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.