Provider Demographics
NPI:1972571826
Name:BILLS, MICHAEL JON (MS PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JON
Last Name:BILLS
Suffix:
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:21251 RIDGETOP CIR
Mailing Address - Street 2:SUITE #140
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6644
Mailing Address - Country:US
Mailing Address - Phone:703-450-4300
Mailing Address - Fax:703-450-5113
Practice Address - Street 1:21251 RIDGETOP CIR
Practice Address - Street 2:SUITE #140
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6644
Practice Address - Country:US
Practice Address - Phone:703-450-4300
Practice Address - Fax:703-450-5113
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2022-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305-004555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1062039OtherAETNA HMO
VA196253OtherANTHEM
VA5866197OtherCIGNA
VAK049OtherCARE FIRST
VA2139421OtherMAMSI / OP CHOICE
VA010114691Medicaid
VAK049OtherCARE FIRST