Vanessa Washington

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

26670 Issued in FL

Practice address

201 Mike St
Leesburg, FL 34748-5913

Phone

(321) 287-3351

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1417408758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MIKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MIKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485913",
            "telephone_number": "321-287-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "26670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jercoby Demin Walker
• Kevin Bruce Wallace, D.M.D.
• Richard B Wallace, D.O.
• Lindsey Marie Walsh
• Nicholas Ward, RBT
• Annette Marie Waterson, OTR/L
• Watkins Foot and Ankle Clinic LLC
• Chad C Watkins, D.P.M.
• Karsten S. Weber, D.P.M.
• Yashel Wedderburn Landell, MD

• Physical Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.