Individual provider Active NPI

Mary Young Lipscombe, PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1043343510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305001094 Issued in VA
Practice address
4101 Nine Mile Rd
Richmond, VA 23223-4916
Phone
(804) 222-1694
Fax
(804) 222-1164
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305001094 VA Primary

Addresses

Primary practice location

4101 Nine Mile Rd
Richmond, VA 23223-4916

Mailing address

8626 Oakcroft Rd
Richmond, VA 23229-7232
Phone (804) 741-4837

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
2305001094VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043343510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 OAKCROFT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232297232",
            "telephone_number": "804-741-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234916",
            "telephone_number": "804-222-1694",
            "fax_number": "804-222-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMBE",
        "first_name": "MARY",
        "middle_name": "YOUNG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.