Individual provider Active NPI

Derek Scott Metzler, PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1154573327
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203246 Issued in VA
Practice address
411 N 23Rd St
Richmond, VA 23223-7101
Phone
(804) 644-1221
NPI assigned
Oct 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203246 VA Primary

Addresses

Primary practice location

411 N 23Rd St
Richmond, VA 23223-7101

Mailing address

411 N 23Rd St
Richmond, VA 23223-7101
Phone (804) 513-8813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203246VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, Inc. Physical Therapist PastSince Nov 1, 2011 Accepting new patients
Thrive Physical Therapy Incorporated Physical Therapist PastSince Sep 9, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1154573327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N 23RD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237101",
            "telephone_number": "804-513-8813",
            "fax_number": "804-644-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N 23RD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237101",
            "telephone_number": "804-644-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "DEREK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-18",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.