Active NPI
Ann B Fleenor, PT, CMT, NCTMB
- Physical Therapist
- Abingdon, VA
National Provider Identifier
1154501559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305202344
- Practice address
- 370 E Main St
Abingdon, VA 24210-2906 - Phone
- (276) 623-3413
- NPI assigned
- Nov 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305202344 | VA | Primary |
| Massage Therapist | 225700000X | 0019006156 | VA |
Addresses
Primary practice location
370 E Main St
Abingdon, VA 24210-2906
Mailing address
864 Panacella Dr
Abingdon, VA 24210-3943
Phone (276) 623-3413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305202344 | VA | MD | Physical Therapist |
| 0019006156 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1154501559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 PANACELLA DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242103943",
"telephone_number": "276-623-3413",
"fax_number": "276-676-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 E MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102906",
"telephone_number": "276-623-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEENOR",
"first_name": "ANN",
"middle_name": "B",
"credential": "PT, CMT, NCTMB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305202344",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019006156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.