Organization Active NPI

Mommy Care PT, LLC

  • Physical Therapy Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1124584453
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOMMY CARE PT, LLC
Practice address
3619 Mardean Dr
Chesapeake, VA 23321-4475
Phone
(757) 553-6701
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Erin M. Glace, PTNPI 1629056791
Title
Owner, PT
Phone
(757) 553-6701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3619 Mardean Dr
Chesapeake, VA 23321-4475

Mailing address

3619 Mardean Dr
Chesapeake, VA 23321-4475
Phone (757) 553-6701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1124584453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 MARDEAN DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214475",
            "telephone_number": "757-553-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 MARDEAN DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214475",
            "telephone_number": "757-553-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY CARE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GLACE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "757-553-6701",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 6, 2023; 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.