Active NPI
Medical Transportation Services, LLC
Doing business as Physicians Transport Service
- Land Ambulance
- Herndon, VA
National Provider Identifier
1144225533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0540402
- Legal business name
- MEDICAL TRANSPORTATION SERVICES, LLC
- Doing business as
- Physicians Transport Service
- Practice address
- 360 Herndon Pkwy
Ste 1200
Herndon, VA 20170-4824 - Phone
- (571) 323-0800
- Fax
- (571) 323-0801
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randolph Thomas Breton, MEDIC
- Title
- Director, Chief of Operations
- Phone
- (571) 323-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0540402 | VA | Primary |
Addresses
Primary practice location
360 Herndon Pkwy
Ste 1200
Herndon, VA 20170-4824
Mailing address
360 Herndon Pkwy
Ste 1200
Herndon, VA 20170-4824
Phone (571) 323-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009012397 | Medicaid | VA |
Other names 1
- PHYSICIANS TRANSPORT SERVICE
National Provider Directory
National Provider DirectoryLocations
360 Herndon Pkwy
Ste 1200
Herndon, VA 20170
Phone (571) 323-0800
360 Herndon Pkwy
Ste 700
Herndon, VA 20170
Phone (571) 323-0800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1144225533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HERNDON PKWY",
"address_2": "STE 1200",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704824",
"telephone_number": "571-323-0800",
"fax_number": "571-323-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HERNDON PKWY",
"address_2": "STE 1200",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704824",
"telephone_number": "571-323-0800",
"fax_number": "571-323-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL TRANSPORTATION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "BRETON",
"authorized_official_first_name": "RANDOLPH",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR, CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "571-323-0800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "0540402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009012397",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHYSICIANS TRANSPORT SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.