Active NPI
Jonathan M. Lloyd, PT, DPT
- Physical Therapist
- West Point, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210534
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05954 | Other | VA | GROUP MEDICARE PTAN |
| 1083909196 | Other | VA | MEDICAID QMB PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305210534 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Belfield Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| The Audiology Offices LLC | 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 |
| 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.
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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.