Individual provider Active NPI

Jonathan M. Lloyd, PT, DPT

  • Physical Therapist
  • West Point, VA
National Provider Identifier
1083909196
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210534 Issued in VA
Practice address
100 Winters St
Suite 106
West Point, VA 23181-9534
Phone
(804) 843-9033
Fax
(804) 843-9037
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210534 VA Primary

Addresses

Primary practice location

100 Winters St
Suite 106
West Point, VA 23181-9534

Mailing address

771 Pilot House Dr
Suite a
Newport News, VA 23606-1990
Phone (757) 873-2302

Other identifiers 2

IdentifierTypeStateIssuer
C05954OtherVAGROUP MEDICARE PTAN
1083909196OtherVAMEDICAID QMB PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928002289 VA Practitioner - Physical Therapist in Private Practice 2264729631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belfield Physical Therapy IncGroup PAC ID 1456303114, 10 clinicians

Practice addresses (Care Compare)

11540 Mary Ball Rd
Lancaster, VA 22503-2237
Phone (804) 462-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210534VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2016 Accepting new patients
Belfield Physical Therapy Inc Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2016 Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
The Audiology Offices LLC PastSince Nov 19, 2013 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

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

11540 Mary Ball Rd
Lancaster, VA 22503
Phone (804) 435-0023

771 Pilot House Dr
#A
Newport News, VA 23606
Phone (757) 873-2302

100 Winters St
Ste 106
West Point, VA 23181
Phone (804) 843-9033

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1083909196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DR",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061990",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINTERS ST",
            "address_2": "SUITE 106",
            "city": "WEST POINT",
            "state": "VA",
            "postal_code": "231819534",
            "telephone_number": "804-843-9033",
            "fax_number": "804-843-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "JONATHAN",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID QMB PROVIDER ID",
            "identifier": "1083909196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.