Brian Koziol, PT, DPT

Individual provider Active NPI Physical Therapist · Middleburg, VA

NPI 1487030136 · NPPES record last updated Nov 11, 2020

Key facts

NPI
1487030136
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305209746 (VA)
Practice address
119 The Plains Rd Ste 110
Middleburg, VA 20117-2691
Phone
(540) 687-8181
Fax
(540) 687-8256
NPI assigned
Aug 5, 2015
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209746 VA Yes

Addresses

Primary practice location

119 The Plains Rd Ste 110
Middleburg, VA 20117-2691

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181

Other providers in Middleburg, VA

All providers in Middleburg, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.