Active NPI
Donna Lynn Moulin, LICENSED PHYSICAL TH
- Physical Therapy Assistant
- Wytheville, VA
National Provider Identifier
1386818441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602469
- Practice address
- 342 Virginia Avenue
Heartland Rehabilitation Services Wytheville
Wytheville, VA 24382 - Phone
- (276) 228-6200
- Fax
- (276) 228-9175
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602469 | VA | Primary |
Addresses
Primary practice location
342 Virginia Avenue
Heartland Rehabilitation Services Wytheville
Wytheville, VA 24382
Mailing address
1403 Mill Race Drive
Heartland Rehabilitation Services of Virginia Inc
Salem, VA 24153
Phone (540) 444-0526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602469 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1386818441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 MILL RACE DRIVE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-444-0526",
"fax_number": "540-444-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 VIRGINIA AVENUE",
"address_2": "HEARTLAND REHABILITATION SERVICES WYTHEVILLE",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-6200",
"fax_number": "276-228-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULIN",
"first_name": "DONNA",
"middle_name": "LYNN",
"credential": "LICENSED PHYSICAL TH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
- Rachel Lindsey Montgomery, LPC
- Chimer D Moore Jr., M.D.
- Susan U Moore, CFNP
- Norman Paul Morin II, MD
- Katherine Ashley Morris, FNP-BC
- Mount Rogers Community Services
- Mount Rogers Community Services
- Mount Rogers Community Services
- Mount Rogers Mental Health & Mental Retardation Services Board
- Mountain View Pathology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.