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BEVERLY SHAYO OWOYELE, DPT

Deactivated

BEVERLY SHAYO OWOYELE, DPT is a Physical Therapy Assistant healthcare provider located in RESTON, Virginia. NPI 1275062119 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RESTON, VA

This NPI has been deactivated. The record was deactivated on April 11, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1275062119
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2017 (3.8493150684932 yrs)
Last Updated
Jul 27, 2021
Deactivated
Apr 11, 2021
License
1291086 (TX)

Practice Information

Address
12005 SUNRISE VALLEY DR STE T40
RESTON, VA, 201913468
Browse VA providers · Browse ZIP 20191
Phone
7038602391
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RESTON, VA

Name Credential NPI
LENA S FERNANDES MHS,PT 1821096256
MR. NELSON A MIN MSPT 1912996752
MR. GREGORY J. MORRIS DPT, ATC 1336125012
TARA VIETH DPT 1275581746
NICHOLINA FERRAMOSCA PT, DPT 1497704407
JOHN J. FAINSAN MSPT, CSCS 1548211840
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.