Jessika Andre, PTA

Individual provider Active NPI Physical Therapy Assistant · Chester, VA

NPI 1730359191 · NPPES record last updated Dec 27, 2021

Key facts

NPI
1730359191
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
0061031 (NY)
Practice address
11102 Arbor Green Dr
Chester, VA 23831
Phone
(804) 295-9399
NPI assigned
Mar 1, 2008
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

LicenseStateTypeSpecialty
0061031NYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0061031 NY Yes
Physical Therapy Assistant 225200000X

Addresses

Primary practice location

11102 Arbor Green Dr
Chester, VA 23831

Mailing address

11102 Arbor Green Dr
Chester, VA 23831-7740
Phone (804) 295-9399

Other names

  • Ms. Jessika Andre-Sylvain Other name

Other providers in Chester, VA

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

Sources for this page

Verify at the official NPI Registry.