Virginia Lynn Broun, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001297 Issued in VA

Practice address

2260 Kindling Hollow Rd
1309 Kempsville Rd
Virginia Beach, VA 23456-3847

Phone

(757) 427-2172

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811021173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 KINDLING HOLLOW RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563847",
            "telephone_number": "757-427-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 KINDLING HOLLOW RD",
            "address_2": "1309 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563847",
            "telephone_number": "757-427-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUN",
        "first_name": "VIRGINIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Michael Broome, M.D.
• Jasmine Brothers
• Tamara J Brothers, OD
• Steven Lee Broudy
• Allison Oliver Broughton, MA
• Marla Broussard, CRNA
• William D. Browder, MD
• Brown Stone Family Services, LLC
• Victoria Brown-O'Brien
• Alexis Brown

• Physical Therapy Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.