Active NPI
Bestinjohn Kanjiracal Jacob
- Physical Therapist
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214568
- Practice address
- 2620A Gaskins Rd
Henrico, VA 23238-1402 - Phone
- (804) 396-6753
- Fax
- (888) 815-8184
- NPI assigned
- Jul 9, 2021
- Last updated
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214568 | VA | Primary |
Addresses
Primary practice location
2620A Gaskins Rd
Henrico, VA 23238-1402
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1404 Lawrenceville Suwanee Rd
Suite A1
Lawrenceville, GA 30043-4331
Phone (678) 761-1280
2677 Lawrenceville Hwy
Decatur, GA 30033-2501
Phone (229) 596-8965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Care LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Rva Physical Therapy& Sports Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1900 The Exchange SE
Ste 400
Atlanta, GA 30339
Phone (678) 631-9584
4465 Nelson Brogdon Blvd
Ste 102
Buford, GA 30518
Phone (678) 761-1280
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
1675 Peachtree Pkwy
Ste 170
Cumming, GA 30041
Phone (678) 761-1280
4470 Satellite Blvd
Ste 208
Duluth, GA 30096
Phone (678) 761-1280
1404 Lawrenceville Suwanee Rd
Ste A1
Lawrenceville, GA 30043
Phone (678) 761-1280
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
2620 Gaskins Rd
#A
Henrico, VA 23238
Phone (804) 396-6753
107 Heaths Way Rd
Midlothian, VA 23114
Phone (804) 396-6753
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
4125 Ironbound Rd
Ste 100
Williamsburg, VA 23188
Phone (757) 220-8383
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Weston Health Care Group Inc
- Physical Therapist
- Acworth, GA
- NPI 1841309101
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1144670589
-
- Rehabilitation Clinic/Center
- Henrico, VA
- NPI 1851781769
Physical Therapist
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1053982082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620A GASKINS RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232381402",
"telephone_number": "804-396-6753",
"fax_number": "888-815-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANJIRACAL JACOB",
"first_name": "BESTINJOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.