Organization Active NPI

William Crist Wellness LLC

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
National Provider Identifier
1144947771
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WILLIAM CRIST WELLNESS LLC
Practice address
4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3262
Phone
(757) 204-2691
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Authorized official

Name
William Crist, DPT
Title
Owner/Physical Therapist
Phone
(434) 989-9016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4445 Corporation LN Ste 264
Virginia Beach, VA 23462-3262

Mailing address

1401 Glenwood Dr SE
Roanoke, VA 24014-4403

Other practice location 1

1401 Glenwood Dr SE
Roanoke, VA 24014-4403
Phone (434) 989-9016

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL williamcristwellness@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667692800000",
    "number": "1144947771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GLENWOOD DR SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240144403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 264",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-204-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Glenwood Dr SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240144403",
            "country_code": "US",
            "telephone_number": "434-989-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAM CRIST WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "CRIST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "434-989-9016",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "williamcristwellness@gmail.com",
            "affiliation": "N",
            "address_1": "1401 Glenwood Dr SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240144403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.