Healthcare Provider Details

I. General information

NPI: 1871669382
Provider Name (Legal Business Name): PANTOPS PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 10/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 PANTOPS MOUNTAIN PL SUITE 202
CHARLOTTESVILLE VA
22911-4601
US

IV. Provider business mailing address

1490 PANTOPS MOUNTAIN PL SUITE 202
CHARLOTTESVILLE VA
22911-4601
US

V. Phone/Fax

Practice location:
  • Phone: 434-245-6472
  • Fax: 434-245-6474
Mailing address:
  • Phone: 434-245-6472
  • Fax: 434-245-6474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES M. COLLINS
Title or Position: PRESIDENT
Credential: PT
Phone: 434-245-6472