Corena Keely Bickel
Individual provider Active NPI Physical Therapy Assistant · Bedford, VA
NPI 1508434820 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1508434820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306604776 (VA)
- Practice address
- 1229 County Farm Rd
Bedford, VA 24523-3131 - Phone
- (540) 586-7658
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2306604776 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306604776 | VA | Yes |
Addresses
Primary practice location
1229 County Farm Rd
Bedford, VA 24523-3131
Mailing address
991 Blue Ridge Dr
Blue Ridge, VA 24064-1077
Phone (540) 353-7645
Other providers in Bedford, VA
- Bedford Post Acute Services LLC
- Bedford Prescription Services
- Bedford SNF Operations LLC
- Jesseka Ree Bettenhausen
- Darlene J. Bianchino-Nigro
- Bio-Medical Applications of Virginia Inc
- Paul Alden Bisbee
- Blessing 2 U Therapy PLLC
- Blue Ridge ABA LLC
- Blue Ridge Vein Care, PC
All providers in Bedford, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. 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.