Provider Demographics
NPI:1982603031
Name:AIKEN, BRIANA L (PT DPT)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:L
Last Name:AIKEN
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:612 DENBIGH BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4416
Practice Address - Country:US
Practice Address - Phone:757-874-0032
Practice Address - Fax:757-874-0127
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203493225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192948OtherBCBS (PT)
VA7081410OtherAETNA
VA1982603031Medicaid
VAP00466090OtherMEDICARE RAILROAD
VA192948OtherBCBS (PT)
VAP00466090OtherMEDICARE RAILROAD