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 |
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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 |