Individual
JONATHAN M. LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 WINTERS ST, SUITE 106, WEST POINT, VA 23181-9534
(804) 843-9033
(804) 843-9037
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083909196
MEDICAID QMB PROVIDER ID
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
06/16/2011
Last updated
10/18/2016
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