Individual provider Active NPI

Ashley Elizabeth Van Valkenburgh, LMT

  • Massage Therapist
  • North Chesterfield, VA
National Provider Identifier
1386148351
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019012532 Issued in VA
Practice address
318 N Arch Rd Ste 100B
North Chesterfield, VA 23236-3567
Phone
(804) 292-0887
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019012532 VA Primary

Addresses

Primary practice location

318 N Arch Rd Ste 100B
North Chesterfield, VA 23236-3567

Mailing address

6524 Brambleton Rd
Chesterfield, VA 23832-8268
Phone (804) 263-4674

Other identifiers 1

IdentifierTypeStateIssuer
82-1789074OtherVASTATE OF VIRGINIA

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

LicenseStateTypeSpecialty
0019012532VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1386148351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 BRAMBLETON RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328268",
            "telephone_number": "804-263-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N ARCH RD STE 100B",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363567",
            "telephone_number": "804-292-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALKENBURGH",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019012532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA",
            "identifier": "82-1789074",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.