Active NPI
Michelle Douglas, PT
- Physical Therapist
- Chesapeake, VA
National Provider Identifier
1114933587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005425
- Practice address
- 676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306 - Phone
- (757) 436-2695
- Fax
- (757) 436-2697
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005425 | VA | Primary |
Addresses
Primary practice location
676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306
Mailing address
676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306
Phone (757) 436-2695
Other names 1
- Catherine Douglas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
676 Battlefield Blvd N
Suite C
Chesapeake, VA 23320-0306
Phone (757) 436-2695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005425 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
676 Battlefield Blvd N
Ste C
Chesapeake, VA 23320
Phone (757) 436-2695
612 Kingsborough Sq
Ste 203
Chesapeake, VA 23320
Organizations & group practices 1
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.
-
- Physical Therapist
- Chesapeake, VA
- NPI 1346277316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1114933587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 BATTLEFIELD BLVD N STE C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200306",
"telephone_number": "757-436-2695",
"fax_number": "757-436-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 BATTLEFIELD BLVD N STE C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200306",
"telephone_number": "757-436-2695",
"fax_number": "757-436-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "DOUGLAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.