Agile Medical Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

AGILE MEDICAL TRANSPORTATION, LLC

Doing business as

Agile Medical Transportation, LLC

Practice address

314A Exchange Aly
Petersburg, VA 23803-3200

Phone

(804) 732-1435

Fax

(804) 732-1433

NPI assigned

Jan 5, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa McKensie

Title

Owner/Partner

Phone

(804) 385-3311

Specialties & licenses 1

Addresses

Other names 1

• Agile Medical Transportation, LLC Doing business as

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1417545419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314A EXCHANGE ALY",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033200",
            "telephone_number": "804-732-1435",
            "fax_number": "804-732-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314A EXCHANGE ALY",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033200",
            "telephone_number": "804-732-1435",
            "fax_number": "804-732-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "MCKENSIE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "804-385-3311"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agile Medical Transportation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.