Active NPI
Kevin M. Hesse, P.T.
- Physical Therapist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210751
- Practice address
- 4020 Raintree Rd
Suite D
Chesapeake, VA 23321-3749 - Phone
- (757) 484-4241
- Fax
- (757) 484-4487
- NPI assigned
- Aug 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017353-1 | NY | |
| Physical Therapist | 225100000X | 2305210751 | VA | Primary |
Addresses
Primary practice location
4020 Raintree Rd
Suite D
Chesapeake, VA 23321-3749
Mailing address
PO Box 69030
Baltimore, MD 21264-0930
Phone (757) 873-2302
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05954 | Other | VA | GROUP MEDICARE PTAN |
| 1104819812 | Medicaid | VA | |
| Q56530A | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017353-1 | NY | MD | Physical Therapist |
| 2305210751 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Chiropractic, LLC | Current | 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 |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
| All in One Specialty Health LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
109 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740
5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188
5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955
Organizations & group practices 8
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.
-
- Chiropractor
- Williamsburg, VA
- NPI 1265728307
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Norfolk, VA
- NPI 1205345444
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Fredericksburg, VA
- NPI 1427561984
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Salem, VA
- NPI 1841700432
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Virginia Beach, VA
- NPI 1083133268
-
dba Pantops Physical Therapy
- Physical Therapist
- Charlottesville, VA
- NPI 1932648649
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Lakes, FL
- NPI 1083069132
Physical Therapist
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1104819812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212640930",
"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": "4020 RAINTREE RD",
"address_2": "SUITE D",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213749",
"telephone_number": "757-484-4241",
"fax_number": "757-484-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSE",
"first_name": "KEVIN",
"middle_name": "M.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-27",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017353-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "C05954",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104819812",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Q56530A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Alejandra Herrera Mauer, LPC, LSATP
- Daniel J Herrera Romero
- Carlton B Herrera
- Ameerah Kamilah-Theresa Herron
- Grant William Hessberger, PT, DPT
- David Michael Hester, C.S.A.
- Amanda Sheree Hetrick, BA, RBT
- Hickory Chiropractic and Sports Rehabilitation Center PLC (Hickory Chiro and Sports Rehab)
- Tyneka Hicks
- Kari Higginbotham
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.