Active NPI
Johnathan Oxford
- Physical Therapy Assistant
- Pennington Gap, VA
National Provider Identifier
1780323188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306604344
- Practice address
- 208 Health Care Dr
Pennington Gap, VA 24277-2854 - Phone
- (276) 546-2566
- NPI assigned
- Jun 2, 2022
- Last updated
- Jun 2, 2022
- Sex
- Male
- 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 | 2306604344 | VA | Primary |
Addresses
Primary practice location
208 Health Care Dr
Pennington Gap, VA 24277-2854
Mailing address
281 Mountain Ash Drive
Dryden, VA 24243
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 |
|---|---|---|---|
| 2306604344 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1780323188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 MOUNTAIN ASH DRIVE",
"city": "DRYDEN",
"state": "VA",
"postal_code": "24243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 HEALTH CARE DR",
"city": "PENNINGTON GAP",
"state": "VA",
"postal_code": "242772854",
"telephone_number": "276-546-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OXFORD",
"first_name": "JOHNATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306604344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennington Gap, VA
- Angela Renee Mullins-Russell
- Barbara S Mullins, RN FNP
- Northeast Tennessee Emergency Physicians PC
- Norton Community Physician Services LLC
- Dia P Owens, MD
- Chelsey Parsons, PHARMD
- Patrick a. Molony, MD PA (Patrick A. Molony-Pennington Gap. Patrick Molony-Jonesville)
- Pennington Drug Center Inc (Pennington Pharmacy)
- Pennington Gap Hma Inc (Lee Regional Medical Center)
- Pennington Gap Hma Inc (Lee Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.