Delisa Rene' Horn Branson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001094 Issued in VA

Practice address

632 Hurt St SW
Abingdon, VA 24210-3018

Phone

(423) 213-7318

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Delisa Rene' Branson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1265787527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 HURT ST SW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103018",
            "telephone_number": "423-213-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 HURT ST SW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103018",
            "telephone_number": "423-213-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN BRANSON",
        "first_name": "DELISA",
        "middle_name": "RENE'",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001094",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000004417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELISA",
            "last_name": "BRANSON",
            "middle_name": "RENE'",
            "credential": "LPTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William A Hood, DO
• John Wayne Hooker, DDS
• Hope and Healing Center LLC
• Hope Over My Experiences
• Cathy Ann Hopkins, PA
• Halee Yates Horn
• Shanna Horne, DO
• Christopher Adam Howard, PHARMD
• Hannah Howell, OTR/L
• Hannah Hubbard, DPT

• Physical Therapy Assistant in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.