NPIMap

Organization Active NPI

Advantage Physical Therapy & Sports Performance, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Weyers Cave, VA
National Provider Identifier
1134264096
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANTAGE PHYSICAL THERAPY & SPORTS PERFORMANCE, P.C.
Practice address
54 Franklin St
Village Square Plaza
Weyers Cave, VA 24486-2340
Phone
(540) 234-8800
Fax
(540) 234-8939
NPI assigned
Feb 20, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Mr. William M. Johnson, PT, DPT, OCSNPI 1558368134
Title
President/Owner
Phone
(540) 434-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

54 Franklin St
Village Square Plaza
Weyers Cave, VA 24486-2340

Mailing address

54 Franklin St
Village Square Plaza
Weyers Cave, VA 24486-2340
Phone (540) 234-8800

Other identifiers 2

IdentifierTypeStateIssuer
294391OtherVAANTHEM
299393OtherVAANTHEM OT

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1134264096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FRANKLIN ST",
            "address_2": "VILLAGE SQUARE PLAZA",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862340",
            "telephone_number": "540-234-8800",
            "fax_number": "540-234-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FRANKLIN ST",
            "address_2": "VILLAGE SQUARE PLAZA",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862340",
            "telephone_number": "540-234-8800",
            "fax_number": "540-234-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY & SPORTS PERFORMANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "540-434-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "294391",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OT",
            "identifier": "299393",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weyers Cave, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.