Jessica R Atha
Individual provider Active NPI Physical Therapy Assistant · Princeton, WV
NPI 1780384339 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1780384339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 334 Windy Hill Dr
Princeton, WV 24739-8060 - Phone
- (304) 910-1711
- NPI assigned
- Mar 3, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
334 Windy Hill Dr
Princeton, WV 24739-8060
Mailing address
334 Windy Hill Dr
Princeton, WV 24739-8060
Phone (304) 910-1711
Other providers in Princeton, WV
- Lori Archer
- Allysha Arroyo
- Ashley Leann Asbury
- Carol Sue Asbury
- Wesley L Asbury Jr.
- Julia Maree Atkins
- Autumn Austin
- Krystin Bourdua Austin
- Logan James Austin
- Hannah Auton
All providers in Princeton, WV · Physical Therapy Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2023. 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.