Vanessa Jill Sutphin-Mayes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006326 Issued in VA

Practice address

418 Bethany Rd
Ewing, VA 24248-8804

Phone

(865) 585-1549

NPI assigned

Jan 3, 2007

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Jill Sutphin-Mayes Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moving Forward Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Pennington Gap, VA
  • NPI 1891124509
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1114084688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BETHANY RD",
            "city": "EWING",
            "state": "VA",
            "postal_code": "242488804",
            "telephone_number": "276-445-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BETHANY RD",
            "city": "EWING",
            "state": "VA",
            "postal_code": "242488804",
            "telephone_number": "865-585-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTPHIN-MAYES",
        "first_name": "VANESSA",
        "middle_name": "JILL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "SUTPHIN-MAYES",
            "middle_name": "JILL",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kennard David Jones, LPC, LMFT
• Lee County Rescue Squad Thomas Walker Unit Inc (Thomas Walker Rescue Squad)
• Mountain View Medical Center PLLC
• St. Charles Health Council Inc (Western Lee County Health Clinic)
• St. Charles Health Council, Inc (Stone Mountain Health Services Pharmacy)
• Joshua A Yeary, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.