Individual provider Active NPI

Jared Kuhmerker, DPT

  • Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1164773305
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207459 Issued in VA
Practice address
8201 Atlee Rd
Suite D
Mechanicsville, VA 23116-1815
Phone
(804) 569-1787
Fax
(804) 569-9787
NPI assigned
Sep 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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 2305207459 VA Primary

Addresses

Primary practice location

8201 Atlee Rd
Suite D
Mechanicsville, VA 23116-1815

Mailing address

8201 Atlee Rd
Suite D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130206000654 VA Practitioner - Physical Therapist in Private Practice 2365696945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

2925 Polo Pkwy
Midlothian, VA 23113-1453
Phone (804) 794-7587

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207459VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

2925 Polo Pkwy
Midlothian, VA 23113
Phone (804) 323-9060

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

4625 Virginia Beach Blvd
Ste 103
Virginia Beach, VA 23462
Phone (757) 600-5999

Organizations & group practices 4

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1164773305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD",
            "address_2": "SUITE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD",
            "address_2": "SUITE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHMERKER",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.