| Blackstone Physical Therapy Llc | |
|
930 South Main St, Blackstone, VA 23824-2614 | |
| (434) 292-4167 | |
| (434) 292-7554 |
| Full Name | Blackstone Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 930 South Main St, Blackstone, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912027210 | NPI | - | NPPES |
| 196190 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305002622 (Virginia) | Primary |
| Provider Name | Kimberly S Gold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407856826 PECOS PAC ID: 0749440477 Enrollment ID: I20120501000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Physical Therapy Llc Po Box 238, Blackstone, VA 23824-0238 Ph: (434) 292-4167 | Blackstone Physical Therapy Llc 930 South Main St, Blackstone, VA 23824-2614 Ph: (434) 292-4167 |
Nikhila N Pai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 S Main St Apt 3a, Blackstone, VA 23824 Phone: 323-303-4405 | |
Dr. Rhea Amber Whitlock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 East St, Blackstone, VA 23824 Phone: 434-292-5300 | |
Mrs. Kimberly S Gold, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 930 S Main St, Blackstone, VA 23824 Phone: 434-292-4167 Fax: 434-292-7554 |