Nancy O'Donnell, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604449 Issued in VA

Practice address

6401 Auburn Dr
Virginia Beach, VA 23464-3601

Phone

(757) 420-2512

NPI assigned

Jul 6, 2016

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 names 1

• Nancy O'Donnell Phan Former name

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1407208192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 STEWART DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647836",
            "telephone_number": "757-749-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "NANCY",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PHAN",
            "middle_name": "O'DONNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joule O'Connor, DO
• Sarah O'Connor
• Susan Moore O'Connor
• Amy Jo O'Dell
• Alexandra Policay O'Donnell, LCSW, ACM-SW
• Kelsey Elyse O'Hanlon
• Thomas O'Hara, D.D.S.
• McKenzie O'Hare
• Allison O'Keefe
• Kathryn Michele O'Leary, PA-C

• Physical Therapy Assistant in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jul 6, 2016; 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.