Janine Marie Talty, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

20A6830 Issued in CA

Practice address

2702 Brambleton Ave SW
Roanoke, VA 24015-4308

Phone

(540) 685-2670

NPI assigned

Feb 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1396873774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 BRAMBLETON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154308",
            "telephone_number": "540-685-2670",
            "fax_number": "540-685-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 BRAMBLETON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240154308",
            "telephone_number": "540-685-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTY",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A6830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0102202736",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ka-Lai Michiko Tada
• Tashnia Tahsin, DO
• Kathleen Talbott
• Marissa Gayle Talbott, COTA/L
• Jason Matthew Tallman, RN, APN-BC, PMHNP
• Joseph Tamez, MD
• Tandem Counseling & Consulting, LLC (Tandem Behavioral Health)
• David Bao Tang, DMD
• Kylie Ann Tangney, CPNP-PC
• Thomas J Tankersley, LPC

• Neuromusculoskeletal Medicine & OMM Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.