Active NPI
Rachel N Gunnell, DPT
- Physical Therapist
- Danville, VA
National Provider Identifier
1467950709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211740
- Practice address
- 109 Bridge St Ste 300
Danville, VA 24541-1222 - Phone
- (434) 793-4711
- Fax
- (434) 797-2514
- NPI assigned
- Jan 31, 2018
- 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 Therapist | 225100000X | 2305211740 | VA | Primary |
Addresses
Primary practice location
109 Bridge St Ste 300
Danville, VA 24541-1222
Mailing address
109 Bridge St Ste 300
Danville, VA 24541-1222
Phone (434) 793-4711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02082225 | Other | VA | MEDICARE |
| 2305211740 | Other | VA | VIRGINIA BOARD OF PHYSICAL THERAPY |
Other names 1
- Rachel Nicholson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.spectrummed.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1467950709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNELL",
"first_name": "RACHEL",
"middle_name": "N",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "P02082225",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PHYSICAL THERAPY",
"identifier": "2305211740",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.spectrummed.com",
"affiliation": "N",
"address_1": "109 Bridge St Ste 300",
"city": "Danville",
"state": "VA",
"country_code": "US",
"postal_code": "245411222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "NICHOLSON",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.