MISTY LYNNE GERSLEY (NPI# 1417596370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417596370 |
| Entity Type | Individual |
| Full Name | MISTY LYNNE GERSLEY |
| Credential | LMT, HHP, NREMT |
| Practice Address |
701 Independence Cir Ste 201 Virginia Beach VA 23455-6439 |
| Mailing Address |
5628 Morris Neck Rd Virginia Beach VA 23457-1300 |
| Practice Telephone | 9517955498 |
| Mailing Telephone | 9517955498 |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | B201400441 | VA | Emergency Medical Service Providers |
| Y | 225400000X | Rehabilitation Practitioner | 0019015698 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 0019015698 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF NURSINF | 0019015698 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5628 Morris Neck Rd, Virginia Beach, VA 234571300 | 9517955498 |
| Street Address |
701 INDEPENDENCE CIR STE 201 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326310053 | Tracey Pinkin | Rehabilitation Practitioner | 1320 Mill Dam Rd, Virginia Beach, VA 23454-2306 | 2012-01-26 |
| 1639644511 | Randi Dawn Bradley | Rehabilitation Practitioner | 1213 Laskin Rd, Virginia Beach, VA 23451-5260 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509138 | Optimal Healthcare Services LLC | Rehabilitation Practitioner | 25792 Leonard Dr, Chantilly, VA 20152-2082 | 2020-05-07 |
| 1427694017 | Sheltering Arms Hospital | Rehabilitation Practitioner | 6627 W Broad St Ste 100, Richmond, VA 23230-1733 | 2019-11-19 |
| 1144784810 | Fredericksburg Fitness Studio | Rehabilitation Practitioner | 2541 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2019-01-28 |
| 1255773040 | Therapy Unlimited, LLC | Rehabilitation Practitioner | 309 Wilmer Ave, Richmond, VA 23227-2653 | 2013-07-23 |
| 1104129923 | Marianne Boots Talbot | Rehabilitation Practitioner | 5747 4th St N, Arlington, VA 22205-1003 | 2010-12-16 |
| 1396706065 | Blue Ridge Therapy Associates, Inc. | Rehabilitation Practitioner | 1912 Memorial Ave, Lynchburg, VA 24501-1708 | 2006-03-31 |
| 1225644925 | A Mothers Care | Rehabilitation Practitioner | 508 Little Margaret Ln, Highland Springs, VA 23075-1647 | 2020-09-17 |
| 1386276012 | Jennifer Korzen | Rehabilitation Practitioner | 2541 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2020-02-11 |
| 1295293348 | Ann Meadows | Rehabilitation Practitioner | 803 S Main St, Woodstock, VA 22664-1125 | 2019-03-07 |
| 1366991432 | Robson Enterprises, LLC | Rehabilitation Practitioner | 1600 N Coalter St, Suite 7, Staunton, VA 24401-2551 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.