Individual provider Active NPI

Teresa Marie Grant, PT

  • Physical Therapist
  • Purcellville, VA
National Provider Identifier
1104969120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23050092938 Issued in VA
Practice address
125 Hirst Rd
Suite 6a
Purcellville, VA 20132-6000
Phone
(540) 751-1970
Fax
(540) 751-1971
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23050092938 VA Primary

Addresses

Primary practice location

125 Hirst Rd
Suite 6a
Purcellville, VA 20132-6000

Mailing address

19027 Silcott Springs Rd
Purcellville, VA 20132-3917
Phone (540) 338-1881

Other names 1

  • Mrs. Teresa Marie Whitney Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23050092938VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RM Health Services, Inc. Physical Therapist PastSince Dec 19, 2012 Accepting new patients
RM Health Services, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104969120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19027 SILCOTT SPRINGS RD",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323917",
            "telephone_number": "540-338-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIRST RD",
            "address_2": "SUITE 6A",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326000",
            "telephone_number": "540-751-1970",
            "fax_number": "540-751-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "23050092938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WHITNEY",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.