Jaime Gail Bunker, DPT – Physical Therapist

Key facts

NPI: 1922374396
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2305207317 (VA)
Practice address: 203 N Main St
Pearisburg, VA 24134-1611
Phone: (540) 921-1306
Fax: (540) 921-1308
NPI assigned: Mar 29, 2012
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Be Active Physical Therapy Inc Physical Therapist · Pearisburg, VA · NPI 1316238546

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
8392	TN	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Be Active Physical Therapy Inc	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2305207317	VA	Yes
Physical Therapist	225100000X	8392	TN

Addresses

Primary practice location

203 N Main St
Pearisburg, VA 24134-1611

Mailing address

203 N Main St
Pearisburg, VA 24134-1611
Phone (540) 921-1306

Other providers in Pearisburg, VA

All providers in Pearisburg, VA · Physical Therapist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.