Individual provider Active NPI

Ashley Marie Delalla, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1316230170
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206903 Issued in VA
Practice address
2126 Great Neck SQ
Virginia Beach, VA 23454
Phone
(757) 578-2197
Fax
(757) 578-2330
NPI assigned
May 26, 2011
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206903 VA Primary

Addresses

Primary practice location

2126 Great Neck SQ
Virginia Beach, VA 23454

Mailing address

2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone (757) 578-2197

Other identifiers 1

IdentifierTypeStateIssuer
C05501OtherVAMEDICARE GROUP

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Beach Physical Therapy & Wellness , PLLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist Past Accepting new patients

Locations

2126 Great Neck Sq
Virginia Beach, VA 23454
Phone (757) 578-2197

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1316230170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 GREAT NECK SQ",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542202",
            "telephone_number": "757-578-2197",
            "fax_number": "757-578-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 GREAT NECK SQ",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-578-2197",
            "fax_number": "757-578-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELALLA",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C05501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.