Active NPI
Iyonna Eppes
- Physical Therapy Assistant
- North Chesterfield, VA
National Provider Identifier
1013503226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306605566
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306605566 | VA | MD | Physical 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.