Individual provider Active NPI

Laura Pfaff Podyma, LPTA

  • Physical Therapy Assistant
  • Bedford, VA
National Provider Identifier
1073837407
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306001029 Issued in VA
Practice address
1225 Hosta LN
Bedford, VA 24523-4976
Phone
(540) 297-7445
NPI assigned
Mar 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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 2306001029 VA Primary

Addresses

Primary practice location

1225 Hosta LN
Bedford, VA 24523-4976

Mailing address

1225 Hosta LN
Bedford, VA 24523-4976
Phone (540) 297-7445

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
2306001029VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1073837407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HOSTA LN",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245234976",
            "telephone_number": "540-297-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HOSTA LN",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245234976",
            "telephone_number": "540-297-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODYMA",
        "first_name": "LAURA",
        "middle_name": "PFAFF",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; 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.