| 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 |
| 259904 | Other | VA | MAMSI |
| 436992 | Other | VA | ANTHEM-PEARISBURG OFFICE |
| 0575302 | Other | VA | AETNA |
| 436991 | Other | VA | ANTHEM-BLACKSBURG OFFICE |
| 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 |
| 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 |
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 |
Sarah Kosik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2387 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-443-3437 |
Michele Dawn Dillon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 757 University City Blvd, Blacksburg, VA 24060 Phone: 540-585-4841 Fax: 540-585-4842 |
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 |
Gdl Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Cherokee Dr, Blacksburg, VA 24060 Phone: 334-233-1068 |
Emily Taylor Hiatt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Litton Ln, Blacksburg, VA 24060 Phone: 540-953-3200 |