NPIMap

Organization Active NPI

Radius PT of Virginia LLC

  • Physical Therapy Clinic/Center
  • Harrisonburg, VA
National Provider Identifier
1043982390
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RADIUS PT OF VIRGINIA LLC
Doing business as
Radius PT of Virginia LLC
Practice address
563 University Blvd Ste 152
Harrisonburg, VA 22801-3752
Phone
(540) 534-1338
Fax
(540) 301-2773
NPI assigned
Oct 4, 2021
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Brad KeislingNPI 1366471906
Title
Director of Corporate Operatins
Phone
(843) 441-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

563 University Blvd Ste 152
Harrisonburg, VA 22801-3752

Mailing address

563 University Blvd Ste 152
Harrisonburg, VA 22801-3752
Phone (540) 534-1338

Other names 2

  • Radius PT of Virginia LLC Doing business as
  • Legacy PT of Virginia LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214000527 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587057641 Receives reassigned benefits from 7 practitioners
Practice locations: Broadway, VA; Harrisonburg, VA

National Provider Directory

National Provider Directory

Locations

563 University Blvd
Ste 152
Harrisonburg, VA 22801
Phone (540) 534-1338

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1043982390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 UNIVERSITY BLVD STE 152",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013752",
            "telephone_number": "540-534-1338",
            "fax_number": "540-301-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 UNIVERSITY BLVD STE 152",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013752",
            "telephone_number": "540-534-1338",
            "fax_number": "540-301-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUS PT OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KEISLING",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE OPERATINS",
        "authorized_official_telephone_number": "843-441-0595"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radius PT of Virginia LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy PT of Virginia LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Legacy PT of Virginia LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.