Individual provider Active NPI

Amy L Guilliams, LICENSED PHYSICAL TH

  • Physical Therapy Assistant
  • Salem, VA
National Provider Identifier
1174797237
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306001143 Issued in VA
Practice address
126 Mill Lane
Heartland Rehabilitation Services of Virginia Salem
Salem, VA 24153
Phone
(540) 387-4311
Fax
(540) 389-6212
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306001143 VA Primary

Addresses

Primary practice location

126 Mill Lane
Heartland Rehabilitation Services of Virginia Salem
Salem, VA 24153

Mailing address

1403 Mill Race Drive
Heartland Rehabilitation Services of Virginia
Salem, VA 24153
Phone (540) 444-0526

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
2306001143VAMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1174797237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MILL RACE DRIVE",
            "address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-444-0526",
            "fax_number": "540-444-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MILL LANE",
            "address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA SALEM",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-387-4311",
            "fax_number": "540-389-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLIAMS",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LICENSED PHYSICAL TH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.