Individual provider Active NPI

Emily Patterson Duvall

  • Massage Therapist
  • Callao, VA
National Provider Identifier
1154922763
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019012545 Issued in VA
Practice address
765 Northumberland Hwy
Callao, VA 22435-2206
Phone
(804) 529-5178
Fax
(804) 529-5179
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019012545 VA Primary

Addresses

Primary practice location

765 Northumberland Hwy
Callao, VA 22435-2206

Mailing address

765 Northumberland Hwy
Callao, VA 22435-2206
Phone (804) 529-5178

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address epatterson@abilititesapt.com Direct
Direct Messaging Address epatterson@abilitiesapt.com Direct

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

LicenseStateTypeSpecialty
0019012545VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities Abound Physical Therapy and Wellness Center PLLC CurrentSince Nov 8, 2020 Accepting new patients
Get Balanced 4 Life PastSince Nov 8, 2020 Accepting new patients

Locations

765 Northumberland Hwy
Callao, VA 22435
Phone (804) 529-5178

Organizations & group practices 2

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1154922763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352206",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352206",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "EMILY",
        "middle_name": "PATTERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019012545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epatterson@abilititesapt.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "765 Northumberland Hwy",
            "city": "Callao",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224352206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epatterson@abilitiesapt.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "765 Northumberland Hwy",
            "city": "Callao",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224352206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.