Healthcare Provider Details

I. General information

NPI: 1982157798
Provider Name (Legal Business Name): BRIAN BRITT PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 POCKET RD
HURT VA
24563-2023
US

IV. Provider business mailing address

20347 TIMBERLAKE RD STE B
LYNCHBURG VA
24502-7352
US

V. Phone/Fax

Practice location:
  • Phone: 434-845-9053
  • Fax:
Mailing address:
  • Phone: 434-845-9053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305210466
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: