Individual provider Active NPI

Lyndsey Pickeral

  • Physical Therapy Assistant
  • Chatham, VA
National Provider Identifier
1083090195
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604214 Issued in VA
Practice address
740 Dry Bridge Road
Chatham, VA 24531
Phone
(434) 432-6527
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 2306604214 VA Primary

Addresses

Primary practice location

740 Dry Bridge Road
Chatham, VA 24531

Mailing address

740 Dry Bridge Rd
Chatham, VA 24531-3556
Phone (434) 432-6527

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
2306604214VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1083090195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DRY BRIDGE RD",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313556",
            "telephone_number": "434-432-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DRY BRIDGE ROAD",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "24531",
            "telephone_number": "434-432-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERAL",
        "first_name": "LYNDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.