Individual provider Active NPI

Dana Leann Perault, P.T.

  • Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1962649277
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305006591 Issued in VA
Practice address
1900 Tate Springs Rd
Suite 16
Lynchburg, VA 24501-1122
Phone
(434) 200-5407
Fax
(434) 200-7646
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305006591 VA Primary

Addresses

Primary practice location

1900 Tate Springs Rd
Suite 16
Lynchburg, VA 24501-1122

Mailing address

1445 Nelson Dr
Lynchburg, VA 24502-2051
Phone (434) 239-2239

Other names 1

  • Dana Leann Martin Former name

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
2305006591VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1962649277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NELSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022051",
            "telephone_number": "434-239-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 TATE SPRINGS RD",
            "address_2": "SUITE 16",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011122",
            "telephone_number": "434-200-5407",
            "fax_number": "434-200-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAULT",
        "first_name": "DANA",
        "middle_name": "LEANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MARTIN",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.