Individual provider Active NPI

Janay Dockery

  • Physical Therapist
  • Suffolk, VA
National Provider Identifier
1063086072
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216096 Issued in VA
Practice address
150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Phone
(757) 942-2022
NPI assigned
May 14, 2021
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 2305216096 VA Primary

Addresses

Primary practice location

150 Burnetts Way Ste 230
Suffolk, VA 23434-8168

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

5255 Snapfinger Park Dr
Decatur, GA 30035-4084
Phone (313) 969-7449

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004003554 VA Practitioner - Physical Therapist in Private Practice 5991195380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216096VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Nov 29, 2021 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2022 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

13735 Connecticut Ave
Ste 6
Silver Spring, MD 20906
Phone (240) 283-9559

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16594/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1063086072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-942-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Snapfinger Park Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354084",
            "country_code": "US",
            "telephone_number": "313-969-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "JANAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "5255 Snapfinger Park Dr",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300354084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.