Active NPI
Nitin Jain
- Physical Therapist
- Abingdon, VA
National Provider Identifier
1396034963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207672
- Practice address
- 15051 Harmony Hills LN
Abingdon, VA 24211-7661 - Phone
- (434) 603-1616
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 032810 | NY | |
| Physical Therapist | 225100000X | 2305207672 | VA | Primary |
Addresses
Primary practice location
15051 Harmony Hills LN
Abingdon, VA 24211-7661
Mailing address
111 Holiday Dr
Bristol, TN 37620-9545
Phone (434) 603-1616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305207672 | VA | MD | Physical Therapist |
| 032810 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1396034963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOLIDAY DR",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376209545",
"telephone_number": "434-603-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15051 HARMONY HILLS LN",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117661",
"telephone_number": "434-603-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "NITIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "032810",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.