Active NPI
Janine Talty LLC
- Neuromusculoskeletal Medicine & OMM Physician
- Roanoke, VA
National Provider Identifier
1831440221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 0102202736
- Legal business name
- JANINE TALTY LLC
- Practice address
- 2702 Brambleton Ave SW
Roanoke, VA 24015-4308 - Phone
- (831) 426-7585
- Fax
- (831) 426-6224
- NPI assigned
- Sep 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janine Talty, D.O.
- Title
- Physician
- Phone
- (540) 685-2670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0102202736 | VA | Primary |
Addresses
Primary practice location
2702 Brambleton Ave SW
Roanoke, VA 24015-4308
Mailing address
2702 Brambleton Ave SW
Roanoke, VA 24015-4308
Phone (540) 685-2670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102202736 | Other | VA | LICENSE |
National Provider Directory
National Provider DirectoryLocations
1213 Corporate Cir SW
Roanoke, VA 24018
Phone (540) 685-2670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1831440221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 BRAMBLETON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240154308",
"telephone_number": "540-685-2670",
"fax_number": "540-685-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 BRAMBLETON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240154308",
"telephone_number": "831-426-7585",
"fax_number": "831-426-6224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANINE TALTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "TALTY",
"authorized_official_first_name": "JANINE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "540-685-2670",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "VA",
"license": "0102202736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0102202736",
"state": "VA"
}
],
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.