Organization Active NPI

Medical Transportation Services, LLC

Doing business as Physicians Transport Service

  • Land Ambulance
  • Herndon, VA
National Provider Identifier
1144225533
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0540402 Issued in VA
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009012397MedicaidVA

Other names 1

  • PHYSICIANS TRANSPORT SERVICE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.