Provider Demographics
NPI:1336125012
Name:MORRIS, GREGORY J (DPT, ATC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:J
Last Name:MORRIS
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Gender:M
Credentials:DPT, ATC
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Mailing Address - Street 1:VIRGINIA THERAPY AND FITNESS CENTER, PLLC
Mailing Address - Street 2:PO BOX 741465
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374
Mailing Address - Country:US
Mailing Address - Phone:703-709-1116
Mailing Address - Fax:703-709-5134
Practice Address - Street 1:VIRGINIA THERAPY AND FITNESS CENTER, PLLC
Practice Address - Street 2:11800 SUNRISE VALLEY DR. SUITE 100
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191
Practice Address - Country:US
Practice Address - Phone:703-709-1116
Practice Address - Fax:703-709-5134
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2018-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305006003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008498T67Medicare PIN
VAP50754Medicare UPIN