Angela C Flynn, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2306602330 Issued in VA

Practice address

200 W Constance Rd
Suffolk, VA 23434-4413

Phone

(606) 669-3232

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1053578807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 PAGE AVE",
            "address_2": "APT 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511064",
            "telephone_number": "606-669-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CONSTANCE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344413",
            "telephone_number": "606-669-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "2306602330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Fitzpatrick, OT
• Crystal Aswell Fitzwater, DPT
• Glennett Fleming, LCSW
• Travis Flood
• Flourishing Life Youth & Family Services, LLC
• Denise Flythe Townes
• Foot Care of Hampton Roadspc
• Forefront Dermatology, S.C.
• Jeffrey David Forman, MD
• Victoria Fortin, PA

• Skilled Nursing Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.