John Amantea, LPTA
Individual provider Active NPI Physical Therapy Assistant · Centreville, VA
NPI 1669745360 · NPPES record last updated Feb 12, 2012
Key facts
- NPI
- 1669745360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306602571 (VA)
- Practice address
- 14425 Four Chimney Dr
Centreville, VA 20120-3220 - Phone
- (571) 245-7273
- NPI assigned
- Feb 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 2306602571 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602571 | VA | Yes |
Addresses
Primary practice location
14425 Four Chimney Dr
Centreville, VA 20120-3220
Mailing address
14425 Four Chimney Dr
Centreville, VA 20120-3220
Other providers in Centreville, VA
- Stacy J Allouche
- Barbra Almond
- Jesenia Alonso Arevalo
- Sarah Leann Alvarez
- Abdul Jamil Aman
- Gregory Anderson
- Phyllis Margo Anderson
- Aniqa Zaheer DDS PLLC
- Aniqa Zaheer DDS PLLC
- Anncolter H Cheron DMD Ms PLLC
All providers in Centreville, 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 Feb 12, 2012. 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.