Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE E DIVERS IV, PT, DPT
ActiveJAKE E DIVERS IV, PT, DPT is a Physical Therapy Assistant healthcare provider located in VINTON, Virginia. NPI 1871942961 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VINTON, VA
Registration Details
- NPI Number
- 1871942961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2016 (10.180447409621 yrs)
- Last Updated
- Jun 9, 2016
- License
-
2305210198 (VA)
Practice Information
- Address
-
1110 VINYARD RDVINTON, VA, 241793632Browse VA providers · Browse ZIP 24179
- Phone
- 5403430466
- Fax
- 5403452261
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VINTON, VA
| Name | Credential | NPI |
|---|---|---|
| JAYNE LEE FITZGERALD | PT | 1679563308 |
| CHERYL S WEBER | PT | 1306836796 |
| MRS. RORIE SADDHRA | PT | 1003001983 |
| DR. STEPHANIE MCCARTY BRADY | DPT | 1245631886 |
| GARRETT CHARLES VAN NUTT | DPT | 1790344844 |
| BRETT HALL | — | 1598404253 |
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.