Active NPI
Taryn Marie Withers
- Physical Therapy Assistant
- Brambleton, VA
National Provider Identifier
1083330872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 42261 Riggins Ridge Ter
Brambleton, VA 20148-7452 - Phone
- (304) 268-5215
- NPI assigned
- Oct 13, 2022
- 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 | VA | Primary |
Addresses
Primary practice location
42261 Riggins Ridge Ter
Brambleton, VA 20148-7452
Mailing address
42261 Riggins Ridge Ter
Brambleton, VA 20148-7452
Phone (304) 268-5215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tarynw9799@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1083330872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42261 RIGGINS RIDGE TER",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201487452",
"telephone_number": "304-268-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42261 RIGGINS RIDGE TER",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201487452",
"telephone_number": "304-268-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERS",
"first_name": "TARYN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tarynw9799@gmail.com",
"affiliation": "N",
"address_1": "42261 Riggins Ridge Ter",
"city": "Brambleton",
"state": "VA",
"country_code": "US",
"postal_code": "201487452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brambleton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.