Active NPI
Jasper Rehab VA LLC
Doing business as Jasper Rehab
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1073390019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JASPER REHAB VA LLC
- Doing business as
- Jasper Rehab
- Practice address
- 4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3671 - Phone
- (929) 328-6432
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yogesh Kumar
- Title
- Owner
- Phone
- (929) 328-6432
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3671
Mailing address
131 Marina Pointe Dr
East Rockaway, NY 11518-2067
Other names 1
- Jasper Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Blacksburg, VA
- NPI 1205613494
-
- Pediatric Occupational Therapist
- Lynchburg, VA
- NPI 1104247592
-
- Occupational Therapist
- Roanoke, VA
- NPI 1710158654
-
- Physical Therapist
- Forest, VA
- NPI 1245755875
-
- Physical Therapist
- East Rockaway, NY
- NPI 1891235347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1073390019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MARINA POINTE DR",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115182067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 CORPORATION LN STE 264",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623671",
"telephone_number": "929-328-6432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASPER REHAB VA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "YOGESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-328-6432"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jasper Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.