Active NPI
Jana Liedman, PTA
- Physical Therapy Assistant
- Virginia Beach, VA
National Provider Identifier
1427109602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8353
- Practice address
- 5716 Cleveland St
Suite 120
Virginia Beach, VA 23462-1784 - Phone
- (757) 961-7271
- Fax
- (757) 961-7276
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8353 | CA | Primary |
Addresses
Primary practice location
5716 Cleveland St
Suite 120
Virginia Beach, VA 23462-1784
Mailing address
500 Botetourt St
Apt 601
Norfolk, VA 23510-1120
Phone (310) 697-9162
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 |
|---|---|---|---|
| 8353 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1427109602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BOTETOURT ST",
"address_2": "APT 601",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101120",
"telephone_number": "310-697-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST",
"address_2": "SUITE 120",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-961-7271",
"fax_number": "757-961-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEDMAN",
"first_name": "JANA",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.