Pinnacle Physical Therapy& Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005319 Issued in VA

Legal business name

PINNACLE PHYSICAL THERAPY& SPORTS MEDICINE

Practice address

1340 E Main St
Wytheville, VA 24382-3437

Phone

(276) 238-8900

NPI assigned

Jan 13, 2011

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Clark Williams II, PT, C. PED, CSCS

Title

Managing Membership

Phone

(276) 238-8900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1205131810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332114",
            "telephone_number": "276-238-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243823437",
            "telephone_number": "276-238-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL THERAPY& SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "MANAGING MEMBERSHIP",
        "authorized_official_telephone_number": "276-238-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, C. PED, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brian Pettit, DDS
• Jason Petty
• Karen Coltrane Phillips, LPN
• Rita Atwell Phillips, RDH
• Lacey Colleen Pickett, M.S, LPC
• James Michael Porter, D.C.
• Jason Poston, LCSW
• Mackenzie Laurinne Poston, CNA, RBT
• PT Solutions LLC (PTSolutions of VA)
• PT Solutions, LLC

• Physical Therapist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.