Elizabeth Ann Quintas Minicucci, PT, DPT, PRPC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017477 Issued in NY

Practice address

401 Campus Blvd
Winchester, VA 22601-2800

Phone

(540) 536-3011

NPI assigned

Feb 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valley Health Occupational Health Services

  • Physical Therapy Clinic/Center
  • Wnchester, VA
  • NPI 1174855829
  NPD (past)

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1104004050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 OLD WILSON CT",
            "city": "HIGH VIEW",
            "state": "WV",
            "postal_code": "268084501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAMPUS BLVD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012800",
            "telephone_number": "540-536-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICUCCI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN QUINTAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PRPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017477",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Mills
• Hollee Maxwell Mills, RN
• Elizabeth Anne Milton, MD
• Minda D. McCabe, LCSW, BCD, PC
• Anita Minghini, MD
• Ministering Angels, LLC
• Hannah Mink
• Casey Marie Minor, FNP-BC
• Laura Minster
• Santiago Miro, B.S., M.D.

• Physical Therapist in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.