Individual provider · Type 1 NPI

Jessie Nicholson, PTA

Physical Therapy Assistant · Purcellville, VA

NPI number 1679284327 Active

Practice location

170 W Main St
Purcellville, VA 20132-5827

Mailing address

608 Thumper Dr
Ranson, WV 25438-4892

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X002080 (WV)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679284327

Jessie Nicholson, PTA's National Provider Identifier is 1679284327, issued on Dec 13, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Purcellville, VA. The record was last updated on Dec 13, 2022.