Sue McCulloch

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602289 Issued in VA

Practice address

1 Parkwest Cir Ste 108
Midlothian, VA 23114-5552

Phone

(540) 520-9411

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831391192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 TERRY PL",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKWEST CIR STE 108",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145552",
            "telephone_number": "540-520-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macie McCord, PA-C
• Amy Blake McCorkill, LBA
• Ralph Kenneth McCoy Jr., BA QMHP-A QIDP/QDDP
• Cynthia McCreary, M.ED., BCBA, LBA
• Rebekka Marie McCulley, LBA
• Cara Nicole McCurry, DO
• Kevin D McDade, DC
• Lisa F McDaniel, P.D.
• Mark Evander McDavid, OTR/L
• Jennifer Smith McDonough, MS/CCC-SLP

• Physical Therapy Assistant in Midlothian, VA
• Providers in Midlothian, 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.