Individual provider Active NPI

Iyonna Eppes

  • Physical Therapy Assistant
  • North Chesterfield, VA
National Provider Identifier
1013503226
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306605566 Issued in VA
Practice address
2105 Cranbeck Rd
North Chesterfield, VA 23235-3505
Phone
(804) 560-7739
NPI assigned
Dec 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306605566 VA Primary

Addresses

Primary practice location

2105 Cranbeck Rd
North Chesterfield, VA 23235-3505

Mailing address

5401 Sandy Ridge Ter
Chesterfield, VA 23832-6969

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL idk Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306605566VAMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1013503226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SANDY RIDGE TER",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CRANBECK RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353505",
            "telephone_number": "804-560-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPES",
        "first_name": "IYONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "idk",
            "affiliation": "N",
            "endpointDescription": "idk",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2105 Cranbeck Rd",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232353505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.