Phoenix Medical Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PHOENIX MEDICAL TRANSPORTATION LLC

Practice address

15442 Featherchase Dr
Chesterfield, VA 23832-2666

Phone

(914) 473-3819

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirollos Ma Megalaa

Title

Manager

Phone

(914) 473-3833

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1629749080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15442 FEATHERCHASE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322666",
            "telephone_number": "914-473-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15442 FEATHERCHASE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322666",
            "telephone_number": "914-473-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MEGALAA",
        "authorized_official_first_name": "KIROLLOS",
        "authorized_official_middle_name": "MA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-473-3833"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarvarius Peterson, PTA
• Courtney Petley, LCSW
• Thomas P Petrey, LCSW
• Joseph Pfab, DDS
• Michael D Pfab, D.D.S.
• Phoenix Mental Health Counseling Services
• Josie Pierre-Louis, RN
• Pillar Support Services LLC
• Jessica Michelle Pizano, DCN, CNS
• Annette Plato, FNP-C

• Non-emergency Medical Transport (VAN) in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.