Active NPI
Amy Horsley Stultz, LPTA
- Physical Therapy Assistant
- Danville, VA
National Provider Identifier
1235763558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602559
- Practice address
- 2526 N Main St
Danville, VA 24540-2333 - Phone
- (434) 836-9510
- NPI assigned
- Feb 25, 2020
- Last updated
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602559 | VA | Primary |
Addresses
Primary practice location
2526 N Main St
Danville, VA 24540-2333
Mailing address
2737 Mosco Rd
Axton, VA 24054-2629
Phone (276) 340-5216
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602559 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1235763558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 MOSCO RD",
"city": "AXTON",
"state": "VA",
"postal_code": "240542629",
"telephone_number": "276-340-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 N MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245402333",
"telephone_number": "434-836-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "AMY",
"middle_name": "HORSLEY",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
- Strategic Therapy Associates, Inc.
- Strategic Therapy Associates, Inc.
- Strategic Therapy Associates, Inc. (Strategic Therapy Associates)
- Stratford Healthcare Center, LLC
- Nakisha Lavon Strickland, R.D.
- Sumeet Subherwal, MD
- Naga Kowsik Reddy Sudireddy
- Janeece Marie Summers, RESIDENT COUNSELOR
- Supportive Care Management
- Prakash K Suthar, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.