Susan Laura Berry
Individual provider Active NPI Physical Therapy Assistant · Galax, VA
NPI 1780196360 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1780196360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306001501 (VA)
- Practice address
- 202 Painter St
Galax, VA 24333-3830 - Phone
- (276) 236-5164
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2306001501 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306001501 | VA | Yes |
Addresses
Primary practice location
202 Painter St
Galax, VA 24333-3830
Mailing address
PO Box 1192
Hillsville, VA 24343-7192
Phone (276) 733-2814
Other providers in Galax, VA
- Anne B Barnwell-Grayson
- Basic Essentials Spinal Care Center
- Baywood Rescue Squad
- Christopher Lee Belcher
- Tammy Denise Bell
- Better Life Counseling Services LLC
- Jacqueline Billings-Mabe
- Gil Pamittan Binarao Jr.
- Bio-Medical Applications of Virginia, Inc.
- Don Howard Bivins
All providers in Galax, 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 Nov 3, 2017. 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.