MRS. TRACEY EWING (NPI# 1629447214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629447214 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY EWING |
| Credential | PT |
| Practice Address |
625 Piney Forest Rd Ste 407 Danville VA 24540-2870 |
| Mailing Address |
Po Box 10566 Danville VA 24543-5010 |
| Practice Telephone | 4347997732 |
| Practice Fax Number | 4347997733 |
| Mailing Telephone | 4347997732 |
| Mailing Fax Number | 4347997733 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2305006242 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
625 PINEY FOREST RD STE 407 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150186 | Amie Teague Boone | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540 | 2006-02-01 |
| 1629618947 | Jacquline Marie Ely | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2020-01-14 |
| 1174177729 | Alison Visconti | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-07-31 |
| 1750844650 | Lisa Rae Potter | Occupational Therapist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-04-09 |
| 1942765987 | Coretta Easley Williams | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2019-02-04 |
| 1467932418 | Amber Moran | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2018-08-20 |
| 1437665023 | Leigh Ann Brown | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-12-19 |
| 1154837961 | Heather Funk | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-12-18 |
| 1700392412 | Jessica Clark | Occupational Therapy Assistant | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-12-18 |
| 1982118733 | Shannon C Smith | Speech-Language Pathologist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174969554 | Julie S. Bursey | Physical Therapist | 605 Glasgow Cir, Danville, CA 94526-2908 | 2013-05-13 |
| 1093349789 | Alexis Niani Mccrea | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2020-03-03 |
| 1447786744 | Learning Trails and Theratails | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2017-05-05 |
| 1265980999 | Caitlin Marie Beam | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2016-09-11 |
| 1659747434 | Clayton Leon Edwards | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2015-08-17 |
| 1093111908 | Elizabeth Jackson Yanow | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2014-11-05 |
| 1831509785 | Danielle C Peppler | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2014-04-30 |
| 1730311911 | Kristy Marie Habiby | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2009-08-20 |
| 1972765154 | Adrienne N Pfaffenberger | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2008-06-27 |
| 1962608315 | Kellie Faye O'brien | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2007-06-22 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.