Haley Vidrine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209375 Issued in VA

Practice address

14535 John Marshall Hwy
Suite 203
Gainesville, VA 20155-4023

Phone

(703) 753-0974

Fax

(703) 753-9709

NPI assigned

Sep 9, 2015

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

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1942678727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "HALEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Moza Vaid, M.D.
• Jainy D Vakharia, DDS
• Lan Van-Buendia, MS OTR/L, CHT
• Marie Jacqulin Vasquez, DDS
• Melanie Witten Vella, CPNP-PC
• Richard A Villa, LPC, NCC, CSC
• Virginia Counseling Solutions
• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy LLC
• Vital Home Health Care LLC

• Physical Therapist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.