Angela Bryant
Individual provider Active NPI Physical Therapist · Galax, VA
NPI 1871942573 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1871942573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305205603 (VA)
- Practice address
- 202 Painter St
Galax, VA 24333-3830 - Phone
- (276) 236-5164
- Fax
- (276) 236-0699
- NPI assigned
- Jun 3, 2016
- 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 |
|---|---|---|---|
| 2305205603 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205603 | VA | Yes |
Addresses
Primary practice location
202 Painter St
Galax, VA 24333-3830
Mailing address
202 Painter St
Galax, VA 24333-3830
Phone (276) 236-5164
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. 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.