Michelle San Pedro Adkins, PT, DPT

Key facts

NPI

1487959516

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

2305205522 (VA)

Practice address

1802 Braeburn Dr
Salem, VA 24153-7357

Phone

(540) 772-3770

NPI assigned

Jan 20, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2021.

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1487959516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "MICHELLE",
        "middle_name": "SAN PEDRO",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

• Sarah Aderholdt
• Tofunmi Valerie Adesanya, DO
• Greg Adiele, MD
• Kimberly Layne Adkins
• Laurie M Adkins, PA-C
• William D. Adkins, PT, DPT, OCS, ATC
• Adult Care Center of Roanoke Valley Inc.
• Advanced Home Care Inc
• Advanced Home Care, Inc
• Advanced Physical Therapy of Virginia Inc

All providers in Salem, VA · Physical Therapist in Virginia