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

Jaimie Pruitt, LPTA

Individual provider Physical Therapy Assistant · NPI 1174122907

Jaimie Pruitt, LPTA is a Physical Therapy Assistant in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020

Practice location Address checks out

100 Anna Goode Way
Suffolk, VA 23434-9236
Phone: (757) 923-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306605691 (VA)

Record details

NPI number1174122907
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 13, 2020

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