Individual provider Active NPI

Gina D. Meyer, PHYSICAL THERAPIST

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1083638316
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207230 Issued in VA
Practice address
1408 N Great Neck Rd
Virginia Beach, VA 23454-1315
Phone
(757) 694-7872
Fax
(757) 340-6210
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1154270 TX
Physical Therapist 225100000X 070015810 IL
Physical Therapist 225100000X 2305207230 VA Primary

Addresses

Primary practice location

1408 N Great Neck Rd
Virginia Beach, VA 23454-1315

Mailing address

PO Box 8561
Virginia Beach, VA 23450-8561
Phone (757) 748-6003

Other identifiers 3

IdentifierTypeStateIssuer
CD3789OtherILMEDICARE RAILRODA GROUP NUMBER
1619908OtherILBCBS IL GROUP
P00602549OtherILMEDICARE RAILROAD NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120426000377 VA Practitioner - Physical Therapist in Private Practice 4082693528 Reassigns benefits to 1 organization
I20200108000480 CA Practitioner - Physical Therapist in Private Practice 4082693528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Pacific Physical Therapy and Sports MedicineGroup PAC ID 1759662281, 4 clinicians

Practice addresses (Care Compare)

501 Marin St
Suite 205
Thousand Oaks, CA 91360-4266
Phone (818) 318-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1154270TXMDPhysical Therapist
2305207230VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Physical Therapy and Sports Medicine Physical Therapist CurrentSince Feb 15, 2012 Accepting new patients
Humpal Physical Therapy, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

2404 Potters Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 340-8805

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1083638316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8561",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234508561",
            "telephone_number": "757-748-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N GREAT NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541315",
            "telephone_number": "757-694-7872",
            "fax_number": "757-340-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "GINA",
        "middle_name": "D.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1154270",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015810",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILRODA GROUP NUMBER",
            "identifier": "CD3789",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP",
            "identifier": "1619908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NUMBER",
            "identifier": "P00602549",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2012; 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.