Active NPI
Gina D. Meyer, PHYSICAL THERAPIST
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1083638316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207230
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD3789 | Other | IL | MEDICARE RAILRODA GROUP NUMBER |
| 1619908 | Other | IL | BCBS IL GROUP |
| P00602549 | Other | IL | MEDICARE RAILROAD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1154270 | TX | MD | Physical Therapist |
| 2305207230 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Life Physical Therapy and Sports Medicine | Physical Therapist | Current | Accepting new patients |
| Humpal Physical Therapy, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1952855843
-
- Orthopedic Physical Therapist
- Virginia Beach, VA
- NPI 1619240033
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
-
- Physical Therapist
- Corpus Christi, TX
- NPI 1871525287
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.