Jason McCully, LPTA
Individual provider Active NPI Physical Therapy Assistant · Gate City, VA
NPI 1922409960 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1922409960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306603393 (VA)
- Practice address
- 150 Dhu St
Gate City, VA 24251-3235 - Phone
- (276) 386-2416
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| 2306603393 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306603393 | VA | Yes |
Addresses
Primary practice location
150 Dhu St
Gate City, VA 24251-3235
Mailing address
150 Dhu St
Gate City, VA 24251-3235
Phone (276) 386-2416
Other providers in Gate City, VA
- Mary Jo Kelly
- Teresa B Landore
- Teresa Lynn Maness
- Lindsay Nicole Martinez
- Sadie Rebecca McAbee
- Michael C McDonough
- McKensie Graceann McGee
- Leslie Brooke McNew-Hall
- Shane Miller
- Christina Millinger
All providers in Gate City, 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 Sep 9, 2014. 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.