Active NPI
Michelle G Woodson, LICENSED PHYSICAL TH
- Physical Therapy Assistant
- Dublin, VA
National Provider Identifier
1619110699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602516
- Practice address
- 5286 Alexander Road
Heartland Rehabilitation Services of Virginia, Inc.
Dublin, VA 24084 - Phone
- (540) 674-6400
- NPI assigned
- Apr 7, 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 | 2306602516 | VA | Primary |
Addresses
Primary practice location
5286 Alexander Road
Heartland Rehabilitation Services of Virginia, Inc.
Dublin, VA 24084
Mailing address
5286 Alexander Road
Heartland Rehabilitation Services of Virginia, Inc.
Dublin, VA 24084
Phone (540) 674-6400
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 |
|---|---|---|---|
| 2306602516 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1619110699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5286 ALEXANDER ROAD",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA, INC.",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-674-6400",
"fax_number": "540-674-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5286 ALEXANDER ROAD",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA, INC.",
"city": "DUBLIN",
"state": "VA",
"postal_code": "24084",
"telephone_number": "540-674-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "MICHELLE",
"middle_name": "G",
"credential": "LICENSED PHYSICAL TH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.