Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Ambers Quesenberry

Individual provider Physical Therapist · NPI 1659848109

Jack Ambers Quesenberry is a Physical Therapist in Private Practice in Galax, Virginia. Qualified in 2018, 8 years ago. Practices with Further Physiotherapy LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

969 E Stuart Dr
Galax, VA 24333-2407
Phone: (276) 238-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 574 E Main St, Independence, VA 24348-3879 — (276) 773-8118

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1659848109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address969 E Stuart Dr, Galax, VA 24333-2407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Further Physiotherapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Galax