Active NPI
Teresa Eileen Datz-Kinahan, LPT
- Geriatric Physical Therapist
- Midlothian, VA
National Provider Identifier
1194183913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Practice address
- 3020 Summerhurst Dr
Midlothian, VA 23113-2181 - Phone
- (804) 839-0199
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Geriatric Physical Therapist | 2251G0304X | Primary | ||
| Neurology Physical Therapist | 2251N0400X |
Addresses
Primary practice location
3020 Summerhurst Dr
Midlothian, VA 23113-2181
Mailing address
3020 Summerhurst Dr
Midlothian, VA 23113-2181
Phone (804) 839-0199
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1194183913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 SUMMERHURST DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132181",
"telephone_number": "804-839-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 SUMMERHURST DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132181",
"telephone_number": "804-839-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATZ-KINAHAN",
"first_name": "TERESA",
"middle_name": "EILEEN",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.