Lindsey Marie Blevins, LPTA

Key facts

NPI

1033601679

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

2306604475 (VA)

Practice address

642 N Main St
Marion, VA 24354-3341

Phone

(276) 783-7529

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidz at Play Therapy, PLLC Rehabilitation Clinic/Center · Marion, VA · NPI 1760753545
  NPD (past) PHYSICAL THERAPY ASSISTANT

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2018.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1033601679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544138",
            "telephone_number": "540-422-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543341",
            "telephone_number": "276-783-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

• Troy A Bise, LPC
• Joe Glenn Blankenship, M.D.
• Brianna Blevins
• Joel Blevins
• Kasey Blevins, CCC-SLP
• Retha Michelle Blevins, FNP-C
• Whitney Dawn Blevins, COTA/L
• Blue Ridge Medical Management
• Blue Ridge Medical Management Corpoartion
• Blue Ridge Medical Management Corporation

All providers in Marion, VA · Physical Therapy Assistant in Virginia