Provider Demographics
NPI:1922263458
Name:MARKLEY, HEATHER E (DPT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:E
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 PILOT HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1990
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:771 PILOT HOUSE DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-1990
Practice Address - Country:US
Practice Address - Phone:757-873-2123
Practice Address - Fax:757-873-3848
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9124179OtherAETNA
VAP00637359OtherRAILROAD MEDICARE
VA192944OtherBCBS PHYSICAL THERAPY
VA1922263458Medicaid
VAC05954Medicare PIN
VA192944OtherBCBS PHYSICAL THERAPY