BENJAMIN PETTIT (NPI# 1871725044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871725044 |
| Entity Type | Individual |
| Full Name | BENJAMIN PETTIT |
| Credential | PTA |
| Practice Address |
6201 Centreville Rd Suite 600 Centreville VA 20121-2626 |
| Practice Telephone | 7034834690 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306602743 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780137240 | Benjamin Andrew Pettit | Audiologist | 915 S Baltimore St, Kirksville, MO 63501-4027 | 2016-08-01 |
| Street Address |
6201 CENTREVILLE RD SUITE 600 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657136 | Michael Andrew Filak | Family Medicine | 6201 Centreville Rd, Centreville, VA 20121-2626 | 2005-05-24 |
| 1184118713 | Michael Stangroom | Physical Therapist | 6201 Centreville Rd, Centreville, VA 20121-2626 | 2018-06-18 |
| 1902390610 | Dominique Graham | Physical Therapist | 6201 Centreville Rd, Centreville, VA 20121-2626 | 2018-06-15 |
| 1164847174 | Robin Witlin | Physical Therapist | 6201 Centreville Rd, Suite 100, Centreville, VA 20121-2626 | 2014-02-27 |
| 1659703692 | Meliza May Barillo | Physical Therapist | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2626 | 2013-08-01 |
| 1659654507 | Demetria L. Borges | Physician Assistant | 6201 Centreville Rd, Suite 100, Centreville, VA 20121 | 2011-09-27 |
| 1699053702 | Eleanor Miriam Merrill | Physical Therapist | 6201 Centreville Rd, Suite 500, Centreville, VA 20121-2626 | 2011-07-25 |
| 1275765901 | Kenneth Mcconnaughey | Physical Therapist | 6201 Centreville Rd, Suite 600, Centreville, VA 20121-2626 | 2009-08-13 |
| 1780850339 | Rebecca L. Levy | Audiologist | 6201 Centreville Rd, Suite 400, Centreville, VA 20121-2626 | 2008-05-05 |
| 1770759524 | Emily Faltemier | Family Medicine | 6201 Centreville Rd, Suite 100, Centreville, VA 20121-2626 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272247 | Cassandra Cottone | Physical Therapy Assistant | 14157 Coble Laskey Ct, Centreville, VA 20121-3881 | 2020-10-15 |
| 1164919932 | Kellie Anne Walter | Physical Therapy Assistant | 6201 Centreville Rd Ste 600, Centreville, VA 20121-2634 | 2018-04-17 |
| 1669745360 | John Amantea | Physical Therapy Assistant | 14425 Four Chimney Dr, Centreville, VA 20120-3220 | 2012-02-12 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1639476435 | Jennifer L Diefenderfer | Physical Therapy Assistant | 205 Armstrong St, Centreville, MD 21617-2125 | 2011-02-15 |
| 1346479144 | Jeffrey Blake Newman | Physical Therapy Assistant | 205 Armstrong St, Centreville, MD 21617-2125 | 2009-07-14 |
| 1548387798 | Stephanie Renee O'brien | Physical Therapy Assistant | 205 Armstrong St, Centreville, MD 21617-2125 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648460 | Jennifer Presnell-ocon | Physical Therapy Assistant | 6201 E Virginia Beach Blvd, Norfolk, VA 23502-2824 | 2020-10-28 |
| 1083211627 | Sherry Mckenzie Truitt | Physical Therapy Assistant | 2298 Old Baywood Rd, Galax, VA 24333-3597 | 2020-10-06 |
| 1093327710 | Kirsten Marie Schmidt | Physical Therapy Assistant | 1213 Frosty Rd, Chesapeake, VA 23325-2915 | 2020-08-24 |
| 1023629565 | Allison Grace Baines | Physical Therapy Assistant | 8911 Mapleview Ave, Henrico, VA 23294-6112 | 2020-08-10 |
| 1619588167 | Kimberly Dawn Phomsopha | Physical Therapy Assistant | 44124 Woodridge Pkwy, Leesburg, VA 20176-6935 | 2020-08-10 |
| 1346863701 | Raelynn Nicole Mcmechan | Physical Therapy Assistant | 75 Bass Dr Apt 102, Stafford, VA 22554-7165 | 2020-05-20 |
| 1023639986 | Husam Eldin Bani | Physical Therapy Assistant | 18429 Montview Sq, Leesburg, VA 20176-1260 | 2020-05-01 |
| 1992326912 | Amir Javeed | Physical Therapy Assistant | 12739 Fair Crest Ct Apt 303, Fairfax, VA 22033-3860 | 2020-04-30 |
| 1033748272 | Amy Jean Osowski | Physical Therapy Assistant | Ride On Ranch, 38416 Morrisonville Rd., Lovesttville, VA 20180 | 2020-04-08 |
| 1235764911 | Whitney Smith | Physical Therapy Assistant | 2401 W Leigh St Ste 110, Richmond, VA 23220-1328 | 2020-03-03 |
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| City | CENTREVILLE |
| Zip Code | 20121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.