Provider Demographics
NPI:1073045522
Name:THROCKMORTON-SAMPLES, BRITTNEY PAIGE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:PAIGE
Last Name:THROCKMORTON-SAMPLES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:BRITTNEY
Other - Middle Name:PAIGE
Other - Last Name:THROCKMORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:174 EXECUTIVE DRIVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541
Mailing Address - Country:US
Mailing Address - Phone:434-797-1504
Mailing Address - Fax:434-797-1506
Practice Address - Street 1:174 EXECUTIVE DRIVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:434-797-1504
Practice Address - Fax:434-797-1506
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA230520515B225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist