Mary Anne Dutton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001017 Issued in WV

Practice address

3201 Grand Central Ave
Vienna, WV 26105-1539

Phone

(304) 295-9594

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Anne Cottle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robert E Dutton

  dba Dutton Pharmacy

  • Pharmacy
  • Vienna, WV
  • NPI 1881753218
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1225158629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 6TH AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261053003",
            "telephone_number": "304-295-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051539",
            "telephone_number": "304-295-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002106000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COTTLE",
            "middle_name": "ANNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Penny Drake
• Emily Duckworth
• Alena Lola Dulaney
• Alicia Duranti, RN
• Dustin Huffman, DDS, and Angel Cook-Huffman, DDS, Inc (Vienna Dental Associates)
• Dva Renal Healthcare Inc (Grand Central Dialysis)
• Nathaniel Ealy III
• William Jeffrey Earley, DO
• Echard Drug Co. Inc. (Echard Drug Co.)
• Tara Edwards

• Physical Therapist in Vienna, WV
• Providers in Vienna, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.