Gabriela Acierno Van Sickle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208396 Issued in VA

Practice address

1301 Buckingham Station Dr
Apt 3I
Midlothian, VA 23113-4636

Phone

(804) 560-9575

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gabriela Christine Acierno Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Rockville, MD
  • NPI 1730604745
  NPD Authorized official

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1770912032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BUCKINGHAM STATION DR APT 3C",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BUCKINGHAM STATION DR",
            "address_2": "APT 3I",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134636",
            "telephone_number": "804-560-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "GABRIELA",
        "middle_name": "ACIERNO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE PHYSICAL THERAPY LICENSE",
            "identifier": "2305208396",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "ACIERNO",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ida Trice Vaclavik, NP
• Margaret Noel Vaden, O.T./L
• Sam-Sudhakar R Vakadani
• Nadia Valcin
• Shawn Van Decker, PTA, OPTA, CPT
• Lucas Vance, PA
• Zachary Taylor Vandall, CSA/LSA
• Kayla Anne Vanderford, CRNP
• Vanessa Ellison, LCSW, LLC
• Melanie Vann, LPC

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.