Active NPI
Ariana Pineda, COTA, PTA
- Physical Therapy Assistant
- Roanoke, VA
National Provider Identifier
1689402240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306606585
- Practice address
- 4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272 - Phone
- (540) 725-8210
- NPI assigned
- Jul 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131002793 | VA | |
| Physical Therapy Assistant | 225200000X | 2306606585 | VA | Primary |
Addresses
Primary practice location
4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272
Mailing address
5142 Mason Park Dr
Roanoke, VA 24019-2722
Phone (540) 397-9355
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 |
|---|---|---|---|
| 0131002793 | VA | MD | Occupational Therapy Assistant |
| 2306606585 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1689402240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5142 MASON PARK DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240192722",
"telephone_number": "540-397-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 PHEASANT RIDGE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240145272",
"telephone_number": "540-725-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "ARIANA",
"credential": "COTA, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131002793",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306606585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.