Dana Conner Mather, PT
Individual provider Active NPI Physical Therapist · Penn Laird, VA
NPI 1528296472 · NPPES record last updated Jun 30, 2009
Key facts
- NPI
- 1528296472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305006126 (VA)
- Practice address
- 3751 Davis Rd
Penn Laird, VA 22846-9654 - Phone
- (540) 574-1858
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|
| 2305006126 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006126 | VA | Yes |
Addresses
Primary practice location
3751 Davis Rd
Penn Laird, VA 22846-9654
Mailing address
3751 Davis Road
Penn Laird, VA 22846-9654
Phone (540) 574-1858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305006126 | Other | VA | 2305006126 COMMONWEALTH OF VA PHYSICAL THERAPIST LISCENSE NUMBER |
Other providers in Penn Laird, VA
- Kathleen A Culbertson
- Dennis Carlos Da Ponte
- Sarah Hudson
- Amy Elizabeth Kubler
- Rachel Michele Mack
- Ashley McLellan
- Meadowcrest Audiology
- Breanne Metz
- Jennifer Ann Parker
- Briana Reichgott Priester
All providers in Penn Laird, 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 Jun 30, 2009. 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.