Active NPI
Magen L Windel, LICENSED PHYSICAL TH
- Physical Therapy Assistant
- Roanoke, VA
National Provider Identifier
1164619862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602172
- Practice address
- 1009 Old Country Club Rd NW
Roanoke, VA 24017-2927 - Phone
- (540) 387-4311
- Fax
- (540) 387-4311
- NPI assigned
- Sep 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602172 | VA | Primary |
Addresses
Primary practice location
1009 Old Country Club Rd NW
Roanoke, VA 24017-2927
Mailing address
5638 Ingleside Dr
Roanoke, VA 24018-4814
Phone (540) 529-2114
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 |
|---|---|---|---|
| 2306602172 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1164619862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 INGLESIDE DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184814",
"telephone_number": "540-529-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 OLD COUNTRY CLUB RD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240172927",
"telephone_number": "540-387-4311",
"fax_number": "540-387-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDEL",
"first_name": "MAGEN",
"middle_name": "L",
"credential": "LICENSED PHYSICAL TH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.