| Mr Jonathan Nick Burroughs, MSPT | |
|
1995 S Main St, Suite 801, Blacksburg, VA 24060-6637 | |
| (540) 951-2703 | |
| (540) 953-0873 |
| Full Name | Mr Jonathan Nick Burroughs |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1995 S Main St, Blacksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578551867 | NPI | - | NPPES |
| 436991 | Other | VA | ANTHEM-BLACKSBURG OFFICE |
| 436992 | Other | VA | ANTHEM-PEARISBURG OFFICE |
| 0575302 | Other | VA | AETNA |
| 259904 | Other | VA | MAMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305202962 (Virginia) | Primary |
| Provider Name | Pt Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861946329 PECOS PAC ID: 5496668667 Enrollment ID: O20171012000010 |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881366730 PECOS PAC ID: 2769723162 Enrollment ID: O20211019001479 |
| Provider Name | Ironspine Movement |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760256390 PECOS PAC ID: 3274986815 Enrollment ID: O20240130002404 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Nick Burroughs, MSPT 1995 S Main St, Suite 801, Blacksburg, VA 24060-6637 Ph: (540) 951-2703 | Mr Jonathan Nick Burroughs, MSPT 1995 S Main St, Suite 801, Blacksburg, VA 24060-6637 Ph: (540) 951-2703 |
Tuck Chiropractic Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 N Main St Ste 203, Blacksburg, VA 24060 Phone: 540-951-6900 Fax: 540-951-1202 | |
Jane Everett Vitak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703 | |
Jordan N Gibson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 872 Prices Fork Rd, Blacksburg, VA 24060 Phone: 540-739-2161 Fax: 540-739-7477 | |
Sarah Kosik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2387 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-443-3437 | |
Michael A Tatman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873 | |
Mrs. Cynthia Leigh Henderson, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St, Suite 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873 | |
Miracle Halei Barnes, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 757 University Blvd, Blacksburg, VA 24060 Phone: 540-585-4841 |