Organization Active NPI

Hampton Roads Physical Therapy and Movement Center LLC

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1164879433
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206223 Issued in VA
Legal business name
HAMPTON ROADS PHYSICAL THERAPY AND MOVEMENT CENTER LLC
Practice address
330 Riviara PL
Chesapeake, VA 23322-6949
Phone
(757) 685-5016
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Mrs. Sherita Wilson, DPT
Title
Physical Therapist
Phone
(757) 685-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2305206223 VA Primary

Addresses

Primary practice location

330 Riviara PL
Chesapeake, VA 23322-6949

Mailing address

330 Riviara PL
Chesapeake, VA 23322-6949
Phone (757) 685-5016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1164879433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RIVIARA PL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226949",
            "telephone_number": "757-685-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RIVIARA PL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226949",
            "telephone_number": "757-685-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS PHYSICAL THERAPY AND MOVEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-685-5016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.