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

Makayla C Fannin, DPT

Individual provider Physical Therapist · NPI 1619893088

Makayla C Fannin, DPT is a Physical Therapist in Private Practice in Williamsburg, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

201 Bulifants Blvd Ste B
Williamsburg, VA 23188-5731
Phone: (757) 229-9740
Fax: (757) 229-9741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5388 Discovery Park Blvd Ste 100, Williamsburg, VA 23188-8218 — (757) 903-4230

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305217670 (VA)

Record details

NPI number1619893088
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 29, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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