Healthcare Provider Details

I. General information

NPI: 1972417699
Provider Name (Legal Business Name): ARIEL ARMSTRONG-PETTIE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 COURT ST
PORTSMOUTH VA
23704-3625
US

IV. Provider business mailing address

711 COURT ST
PORTSMOUTH VA
23704-3625
US

V. Phone/Fax

Practice location:
  • Phone: 866-601-4443
  • Fax: 866-596-6056
Mailing address:
  • Phone: 866-601-4443
  • Fax: 866-596-6056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306606106
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: