Nicholas Restrepo, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605964 Issued in VA

Practice address

3400 Southpoint Dr
Blacksburg, VA 24060-1261

Phone

(800) 796-5420

NPI assigned

Aug 16, 2021

Sex

Male

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1376218982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FALOR LN",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732633",
            "telephone_number": "540-808-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SOUTHPOINT DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240601261",
            "telephone_number": "800-796-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "NICHOLAS",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Kidd Reed
• Hannah Nicole Reedy
• Shawn Reeves
• Kathryn Estill Reilly, MSR, PT
• Katherine McNamee Reinholtz, ND
• Alice Reynolds, PHARMD
• Dale Eugene Reynolds, DC
• Tracey Rhodes, CRNA
• David P Ribbe, PHD
• Kadin Ribble

• 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 16, 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.