Tanya Nicole Tucker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001207 Issued in WV

Practice address

501 Caldwell LN
Dunbar, WV 25064-2026

Phone

(304) 744-7064

NPI assigned

Nov 21, 2012

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1841534328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TIMBER CREEK LN APT 15",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431181",
            "telephone_number": "304-633-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CALDWELL LN",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642026",
            "telephone_number": "304-744-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "PTA001207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Thomas
• Michelle Thomas
• Tiffiny Thornabar
• Danny Ray Toney
• Donald Lee Torman, RPH
• Allison A Vance, MA, LPC
• Ginnie Varnado
• Andy VI, PHARMD
• Abimbola Vinyo
• Walgreen Co

• Physical Therapy Assistant in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.