Individual provider Active NPI

Natasha Leigh Pena, DPT, PTA

  • Physical Therapist
  • Barboursville, VA
National Provider Identifier
1144570557
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6420 Seminole TRL Ste U2
Barboursville, VA 22923-2836
Phone
(434) 939-9524
Fax
(434) 939-9679
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2090902 TX
Physical Therapy Assistant 225200000X 2306603413 VA
Physical Therapist 225100000X VA Primary

Addresses

Primary practice location

6420 Seminole TRL Ste U2
Barboursville, VA 22923-2836

Mailing address

6420 Seminole TRL Ste U2
Barboursville, VA 22923-2836
Phone (434) 939-9524

Other identifiers 1

IdentifierTypeStateIssuer
2305216268OtherVAPHYSICAL THERAPIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240421000156 VA Practitioner - Physical Therapist in Private Practice 1153736475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level Up Physical TherapyGroup PAC ID 3072920487, 3 clinicians

Practice addresses (Care Compare)

6420 Seminole TRL
Suite U2
Barboursville, VA 22923-2836
Phone (808) 347-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2090902TXMDPhysical Therapy Assistant
2306603413VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Level Up Physical Therapy Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

6420 Seminole Trl
Ste U2
Barboursville, VA 22923
Phone (434) 939-9524

Organizations & group practices 1

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1144570557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL STE U2",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "434-939-9524",
            "fax_number": "434-939-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL STE U2",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "434-939-9524",
            "fax_number": "434-939-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "NATASHA",
        "middle_name": "LEIGH",
        "credential": "DPT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2090902",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603413",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "2305216268",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.