Anna Catherine McCullough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0467 Issued in NV

Practice address

201 Koontz LN
Carson City, NV 89701-5513

Phone

(775) 883-3622

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1285860767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 CARRIAGE CREST DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063393",
            "telephone_number": "775-671-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KOONTZ LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015513",
            "telephone_number": "775-883-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-0467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick McCloskey
• Naomi Lynn McColl, MSC CPC-I
• Kelly Anne McConnell, MD
• Jennifer McCord, P.A.
• Daniel Kevin McCoy, APN
• David Bruce McCullough, PTA
• Tanya McCullough
• Mynet McDermott, CADC INTERN
• Robert Lewis McDonald, MD
• Ryann McDonald, CCC-SLP

• Physical Therapy Assistant in Carson City, NV
• Providers in Carson City, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.