Individual
MATTHEW R AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
130 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-7076
Mailing address
PO BOX 3250, WINCHESTER, VA 22604-2450
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205974
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538396213
—
VA
01
—
192967
BCBS (PHYSICAL THERAPY)
VA
01
—
247660
BCBS (PHYSICAL THERAPY)
VA
01
—
9655354
AETNA
VA
01
—
P00733185
RAILROAD MEDICARE
VA
Enumeration date
06/19/2009
Last updated
04/01/2024
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