Individual provider Active NPI

Drazen Schrecengost, PT, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1174190888
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214422 Issued in VA
Practice address
5301 Providence Rd Ste 80And90
Virginia Beach, VA 23464-4128
Phone
(757) 467-4604
Fax
(757) 467-2716
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 2305214422 VA Primary

Addresses

Primary practice location

5301 Providence Rd Ste 80And90
Virginia Beach, VA 23464-4128

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240507000156 VA Practitioner - Physical Therapist in Private Practice 3173963238 Reassigns benefits to 1 organization
I20260422000517 NC Practitioner - Physical Therapist in Private Practice 3173963238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Change the Game Performance Therapy IncGroup PAC ID 6406380203, 6 clinicians

Practice addresses (Care Compare)

1460 Pantops Mountain PL
Charlottesville, VA 22911-4671
Phone (434) 817-4100

805 N 4TH St
Suite D
Wilmington, NC 28401-3472
Phone (910) 915-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214422VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1460 Pantops Mountain Pl
Charlottesville, VA 22911
Phone (434) 817-4100

3918 Lenox Ave
Ste 430
Charlottesville, VA 22901
Phone (434) 951-6355

1622 Timberwood Blvd
Ste 211
Charlottesville, VA 22911
Phone (434) 202-2830

5301 Providence Rd
Ste 80
Virginia Beach, VA 23464
Phone (757) 467-1900

Organizations & group practices 3

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1174190888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 PROVIDENCE RD STE 80AND90",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644128",
            "telephone_number": "757-467-4604",
            "fax_number": "757-467-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECENGOST",
        "first_name": "DRAZEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 11, 2021; 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.