Individual provider · Type 1 NPI

Justin Derek Mellott

Physical Therapy Assistant · Berkeley Springs, WV

NPI number 1972261139 Active

Practice location

23 Fitness Ln
Berkeley Springs, WV 25411-7080

Call (304) 258-1300 Map

Mailing address

13808 Jenny Ln NE
Little Orleans, MD 21766-1034

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPT002131 (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 1972261139

Justin Derek Mellott's National Provider Identifier is 1972261139, issued on Dec 6, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Berkeley Springs, WV. The record was last updated on Dec 6, 2021.