Active NPI
Pamela Mickey
- Physical Therapy Assistant
- Alexandria, VA
National Provider Identifier
1467684415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602006
- Practice address
- 7127 Latour CT
Alexandria, VA 22315-3958 - Phone
- (703) 768-1928
- NPI assigned
- Aug 10, 2009
- Last updated
- Aug 10, 2009
- 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 | 2306602006 | VA | Primary |
Addresses
Primary practice location
7127 Latour CT
Alexandria, VA 22315-3958
Mailing address
7127 Latour CT
Alexandria, VA 22315-3958
Phone (703) 768-1928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306602006 | Other | VA | STATE OF VIRGINIA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602006 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1467684415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7127 LATOUR CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223153958",
"telephone_number": "703-768-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7127 LATOUR CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223153958",
"telephone_number": "703-768-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEY",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VIRGINIA",
"identifier": "2306602006",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
- Melannieann Michaud, LCSW
- Mary Jay Michel, M.S., L.M.F.T.
- Sandra Jean Michell, PT
- Michelle Kondracki Oconnor PT (Beyond PT)
- Aristides John Michos, M.D.
- Mid Atlantic Medical Management , LLC
- Mid Atlantic Pain Management, LLC
- Mid Atlantic Pain Management, LLC
- Mid-Atlantic Mobile Medical Imaging, LLC.
- Lamaya Middleton, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.