Active NPI
Nicole D Jones, LPTA
- Physical Therapy Assistant
- Culpeper, VA
National Provider Identifier
1083313571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306605891
- Practice address
- 15331 Creativity Dr
Culpeper, VA 22701-2502 - Phone
- (540) 317-0888
- NPI assigned
- Feb 23, 2023
- Last updated
- Feb 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2306605891 | VA | |
| Physical Therapy Assistant | 225200000X | 2306605891 | VA | Primary |
Addresses
Primary practice location
15331 Creativity Dr
Culpeper, VA 22701-2502
Mailing address
5125 Warrington Dr
Suffolk, VA 23435-1426
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 |
|---|---|---|---|
| 2306605891 | VA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1083313571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 WARRINGTON DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15331 CREATIVITY DR",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227012502",
"telephone_number": "540-317-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "NICOLE",
"middle_name": "D",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2306605891",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306605891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.