NPIMap

Organization Active NPI

University Physical Therapy Limited Partnership

  • Physical Therapist
  • Daleville, VA
National Provider Identifier
1104330190
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNIVERSITY PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
65 Shenandoah Ave Ste 203
Daleville, VA 24083-3252
Phone
(540) 352-4304
Fax
(540) 591-7340
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

65 Shenandoah Ave Ste 203
Daleville, VA 24083-3252

Mailing address

65 Shenandoah Ave Ste 203
Daleville, VA 24083-3252
Phone (540) 352-4304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000694 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9931180940 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, VA; Roanoke, VA; Pearisburg, VA; Dublin, VA; Christiansburg, VA; Blacksburg, VA; Daleville, VA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

115 Akers Farm Rd
Ste 1
Christiansburg, VA 24073
Phone (540) 381-9100

65 Shenandoah Ave
Ste 203
Daleville, VA 24083
Phone (540) 352-4304

130 Kinter Way
Pearisburg, VA 24134
Phone (540) 921-5200

154 Kinter Way
#A
Pearisburg, VA 24134
Phone (540) 921-5200

4633 Brambleton Ave
#202
Roanoke, VA 24018
Phone (540) 774-0729

108 Knotbreak Rd
Salem, VA 24153
Phone (540) 685-0168

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1104330190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SHENANDOAH AVE STE 203",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833252",
            "telephone_number": "540-352-4304",
            "fax_number": "540-591-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SHENANDOAH AVE STE 203",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833252",
            "telephone_number": "540-352-4304",
            "fax_number": "540-591-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.

Verify at the official NPI Registry.