Individual provider Active NPI

Brandon McGiness

  • Physical Therapy Assistant
  • Fredericksburg, VA
National Provider Identifier
1902339161
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604669 Issued in VA
Practice address
3500 Meekins Dr
Fredericksburg, VA 22407-4894
Phone
(540) 786-1789
Fax
(540) 786-1792
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604669 VA Primary
Physical Therapy Assistant 225200000X 5502003575 MI

Addresses

Primary practice location

3500 Meekins Dr
Fredericksburg, VA 22407-4894

Mailing address

3500 Meekins Dr
Fredericksburg, VA 22407-4894
Phone (540) 786-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502003575MIMDPhysical Therapy Assistant
2306604669VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1902339161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MEEKINS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074894",
            "telephone_number": "540-786-1789",
            "fax_number": "540-786-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MEEKINS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074894",
            "telephone_number": "540-786-1789",
            "fax_number": "540-786-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINESS",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604669",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.