NPIMap

Organization Active NPI

Abilities Abound Physical Therapy and Wellness Center PLLC

  • Physical Therapy Clinic/Center
  • Callao, VA
National Provider Identifier
1063833218
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ABILITIES ABOUND PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Practice address
765 Northumberland Hwy
Callao, VA 22435-2206
Phone
(804) 529-5179
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Merthia I Haynie, D.P.T.NPI 1760407894
Title
Owner
Phone
(757) 810-5574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X VA Primary

Addresses

Primary practice location

765 Northumberland Hwy
Callao, VA 22435-2206

Mailing address

PO Box 197
Callao, VA 22435-0197
Phone (804) 529-5178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327000774 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608007570 Receives reassigned benefits from 3 practitioners
Practice locations: Callao, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1063833218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224350197",
            "telephone_number": "804-529-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352206",
            "telephone_number": "804-529-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITIES ABOUND PHYSICAL THERAPY AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "MERTHIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-810-5574",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.