Mary Kristine Sungahid Dela Cruz, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2305206561 Issued in VA

Practice address

201 Eppes St
Hopewell, VA 23860-2717

Phone

(180) 454-1144

NPI assigned

Dec 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1235475203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKEVIEW PARK RD",
            "address_2": "APT 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EPPES ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602717",
            "telephone_number": "180-454-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "MARY KRISTINE",
        "middle_name": "SUNGAHID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305206561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Crutcher
• Daniel M. Baker, D.D.S PLLC
• Kamlesh Nandlal Dave, M.D.,F.A.C.C.
• David L. Ellis, DDS, LTD
• Janet Reid Dawson, LPC
• Kristin Denise Dibler, MSW
• Brooke Glasscock Dimaio, M.S. OTR/L
• District 19 Community Service Board
• Dr. Ellis & Associates, D.D.S., of Hopewell, PLLC
• Abdul W Durrani, MD

• Geriatric Physical Therapist in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Geriatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.