Brieanne Davis Matheney-Fluke, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602010 Issued in VA

Practice address

1901 S Main St
Blacksburg, VA 24060-6600

Phone

(540) 443-3428

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

Yes

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1326695503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606600",
            "telephone_number": "540-443-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENEY-FLUKE",
        "first_name": "BRIEANNE",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Martin, LCSW
• Erin Martin, LCSW
• Holly P. Martin, PA-C
• Daniel Martinson, PSYD
• Kevin Scott Masneri, PT
• Matthew T. Ankrum DDS, Ms, PC
• Matthew W Glasgow DDS PC
• Benjamin Toliver Matthews, D.D.S.
• Rodger Curtis Mattson, DO
• Kimberly Rene Matusevich, MPT, CLT

• Physical Therapy Assistant in Blacksburg, VA
• Providers in Blacksburg, 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 Aug 21, 2019; 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.