Active NPI
Lindsey Marie Blevins, LPTA
- Physical Therapy Assistant
- Marion, VA
National Provider Identifier
1033601679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306604475
- Practice address
- 642 N Main St
Marion, VA 24354-3341 - Phone
- (276) 783-7529
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- 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 | 2306604475 | VA | Primary |
Addresses
Primary practice location
642 N Main St
Marion, VA 24354-3341
Mailing address
1052 Terrace Dr
Marion, VA 24354-4138
Phone (540) 422-1075
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 |
|---|---|---|---|
| 2306604475 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz at Play Therapy, PLLC | Physical Therapy Assistant | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Marion, VA
- NPI 1760753545
Physical Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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 (Ballad Health Medical Associates)
- Blue Ridge Medical Management Corpoartion (Ballad Health Medical Associates)
- Blue Ridge Medical Management Corporation (MSMG Im Mar)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.