Active NPI
William Crist Wellness LLC
- Physical Medicine & Rehabilitation Physician
- Virginia Beach, VA
National Provider Identifier
1144947771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | williamcristwellness@gmail.com |
National Provider Directory
National Provider DirectoryNPI 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.