Active NPI
Atlantic Knee Restoration & Regenerative Medicine - Richmond
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mechanicsville, VA
National Provider Identifier
1093387748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- ATLANTIC KNEE RESTORATION & REGENERATIVE MEDICINE - RICHMOND
- Practice address
- 7481 Right Flank Rd Ste 100
Mechanicsville, VA 23116-3838 - Phone
- (256) 302-2228
- NPI assigned
- Jul 13, 2021
- Last updated
- Jul 7, 2022
- 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
- Robert Trey Crittenden III
- Title
- Owner
- Phone
- (256) 302-2228
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | Primary |
Addresses
Primary practice location
7481 Right Flank Rd Ste 100
Mechanicsville, VA 23116-3838
Mailing address
7481 Right Flank Rd Ste 100
Mechanicsville, VA 23116-3838
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 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Midlothian, VA
- NPI 1316050719
-
- Family Nurse Practitioner
- Midlothian, VA
- NPI 1609126044
-
- Adult Health Nurse Practitioner
- Sterling, VA
- NPI 1952641433
-
- Anesthesiology Physician
- Chester, VA
- NPI 1124347299
-
- Family Nurse Practitioner
- Fredericksburg, VA
- NPI 1467012120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657152000000",
"number": "1093387748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7481 RIGHT FLANK RD STE 100",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7481 RIGHT FLANK RD STE 100",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163838",
"telephone_number": "256-302-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC KNEE RESTORATION & REGENERATIVE MEDICINE - RICHMOND",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-13",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A",
"authorized_official_last_name": "CRITTENDEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "TREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-302-2228",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
- Laura S Ash-Brackley, LCSW
- Ashcake Family Physicians Inc
- Ashland Hearing Aid Center LLC
- Aspire Supportive Care Services, LLC.
- Associated Educational Services of VA., Inc
- Atlee Chiropractic Center, P.C.
- Sana Attar, MD
- Christine Aubry, FNP-BC
- Jared T Austin, PT, DPT
- Autumn Corporation (Autumn Care of Mechanicsville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.