Caroline Waldron
Individual provider Active NPI Physical Therapist · Richmond, VA
NPI 1104359207 · NPPES record last updated Apr 5, 2017
Key facts
- NPI
- 1104359207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305208531 (VA)
- Practice address
- 2805 W Broad St
Richmond, VA 23230-5112 - Phone
- (804) 764-5348
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180322002886 | VA | Practitioner - Physical Therapist in Private Practice | 5698037075 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisson&Associates LLC | Physical Therapist | Current |
Accepting new patients |
| Hilltop Physical Therapy, Inc. | Past |
Accepting new patients |
Locations
17248 Kings Hwy
Montross, VA 22520
Phone (804) 269-1588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208531 | VA | Yes |
Addresses
Primary practice location
2805 W Broad St
Richmond, VA 23230-5112
Mailing address
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Other providers in Richmond, VA
- Wal-Mart Stores East LP
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Wal-Mart Stores East, LP
- Wal-Mart Stores East, LP
- Jennifer Brannan Waldrop
- Thomas Waldrop
- Waleed N. Nazmy,MD Inc
- Stacey Lynn Walerko
- Walgreen Co
All providers in Richmond, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.