Organization Active NPI

West Point Physical Therapy

  • Physical Therapist
  • West Point, VA
National Provider Identifier
1114070935
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204769 Issued in VA
Legal business name
WEST POINT PHYSICAL THERAPY
Practice address
100 Winters St
Suite 106
West Point, VA 23181-9534
Phone
(804) 843-9033
Fax
(804) 843-9037
NPI assigned
Jan 18, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
HANOVER REHABILITATION ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Mr. David Joe Durham, DPT
Title
President
Phone
(804) 843-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305204769 VA Primary

Addresses

Primary practice location

100 Winters St
Suite 106
West Point, VA 23181-9534

Mailing address

100 Winters St
Suite 106
West Point, VA 23181-9534
Phone (804) 843-9033

National Provider Directory

National Provider Directory
Part of
Hanover Rehab Assoc Llgrp

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1114070935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINTERS ST",
            "address_2": "SUITE 106",
            "city": "WEST POINT",
            "state": "VA",
            "postal_code": "231819534",
            "telephone_number": "804-843-9033",
            "fax_number": "804-843-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINTERS ST",
            "address_2": "SUITE 106",
            "city": "WEST POINT",
            "state": "VA",
            "postal_code": "231819534",
            "telephone_number": "804-843-9033",
            "fax_number": "804-843-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST POINT PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANOVER REHABILITATION ASSOCIATES",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-843-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.