Virginia Anne Rawls, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2021655 Issued in TX

Practice address

3400 Waterview Pkwy Ste 115
Richardson, TX 75080-1547

Phone

(469) 341-7772

NPI assigned

Feb 20, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Viva Medical Group, LLC

  • Home Health Agency
  • Richardson, TX
  • NPI 1720231442
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1902306459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 JUSTIN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242460",
            "telephone_number": "512-554-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WATERVIEW PKWY STE 115",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801547",
            "telephone_number": "469-341-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2021655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haroon Rasheed, MD
• Jeanine Louise Davis Ratliff, M.D.
• Ian Mark Ratner, M.D.
• Ravi K. Mootha, M.D., P.a.
• Dunja Ravlija
• Jeniece Ray
• Dennis Scott Rayfield, D.C.
• Joseph Decarlo Raymond Sr., RN
• Joseph L Raymond III, CNIM
• Jennilyn Tuazon Raynor

• Physical Therapy Assistant in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.