Individual provider Active NPI

Michael A Tatman, PT

  • Physical Therapist
  • Blacksburg, VA
National Provider Identifier
1093025488
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305001678 Issued in VA
Practice address
1995 S Main St Ste 801
Blacksburg, VA 24060-6637
Phone
(540) 951-2703
Fax
(540) 953-0873
NPI assigned
Oct 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305001678 VA Primary

Addresses

Primary practice location

1995 S Main St Ste 801
Blacksburg, VA 24060-6637

Mailing address

1995 S Main St Ste 801
Blacksburg, VA 24060-6637
Phone (540) 951-2703

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapies of Roanoke, Inc. Past Accepting new patients
Professional Therapies of Roanoke, Inc. Physical Therapist PastSince Nov 14, 1994 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1093025488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 S MAIN ST STE 801",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606637",
            "telephone_number": "540-951-2703",
            "fax_number": "540-953-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 S MAIN ST STE 801",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606637",
            "telephone_number": "540-951-2703",
            "fax_number": "540-953-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATMAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.