Active NPI
Debbie D Clark, PHYSICAL THERAPIST
- Physical Therapist
- Wytheville, VA
National Provider Identifier
1275632978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305001898
- Practice address
- 342 Virginia Avenue
Heartland Rehabilitation Services of Virginia Inc
Wytheville, VA 24382 - Phone
- (276) 228-6200
- Fax
- (276) 228-9175
- NPI assigned
- Sep 21, 2006
- 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 Therapist | 225100000X | 2305001898 | VA | Primary |
Addresses
Primary practice location
342 Virginia Avenue
Heartland Rehabilitation Services of Virginia Inc
Wytheville, VA 24382
Mailing address
342 Virginia Avenue
Heartland Rehabilitation Services of Virginia Inc
Wytheville, VA 24382
Phone (276) 228-6200
Other names 1
- Debbie Lynn Dillow
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 |
|---|---|---|---|
| 2305001898 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Services of Virginia, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba H2 Health
- Rehabilitation Clinic/Center
- Tazewell, VA
- NPI 1700156585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275632978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DEBBIE",
"middle_name": "D",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305001898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBBIE",
"last_name": "DILLOW",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.