Individual provider Active NPI

Michael W Wilburn, MPT

  • Physical Therapist
  • Harrisonburg, VA
National Provider Identifier
1184620767
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203746 Issued in VA
Practice address
313 Neff Ave
Ste C
Harrisonburg, VA 22801-3495
Phone
(540) 434-1200
Fax
(540) 434-1203
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 2305203746 VA Primary

Addresses

Primary practice location

313 Neff Ave
Ste C
Harrisonburg, VA 22801-3495

Mailing address

313 Neff Ave
Ste C
Harrisonburg, VA 22801-3495
Phone (540) 434-1200

Other identifiers 1

IdentifierTypeStateIssuer
269060OtherANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000692 VA Practitioner - Physical Therapist in Private Practice 8820991656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Virginia LLC 19 clinicians
Benchmark Physical Therapy of VA LLC 34 clinicians
Drayer PT of VA LLC 11 clinicians

Practice addresses (Care Compare)

100 Founders Way
Suite 1
Strasburg, VA 22657-3791
Phone (540) 465-2505

1609 N Coalter St
Staunton, VA 24401-2552
Phone (540) 213-1320

313 Neff Ave
Suite C
Harrisonburg, VA 22801-3495
Phone (540) 434-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Jan 29, 2021 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist PastSince Jan 29, 2021 Accepting new patients
Advantage Physical Therapy & Sports Performance, P.C. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

4011B Wards Rd
Lynchburg, VA 24502
Phone (434) 284-7894

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

1609 N Coalter St
Staunton, VA 24401
Phone (540) 213-1320

100 Founders Way
Ste 1
Strasburg, VA 22657
Phone (540) 465-2505

54 Franklin St
Ste 112
Weyers Cave, VA 24486
Phone (540) 234-8800

54 Franklin St
Weyers Cave, VA 24486
Phone (540) 234-8800

Organizations & group practices 7

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1184620767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 NEFF AVE",
            "address_2": "STE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013495",
            "telephone_number": "540-434-1200",
            "fax_number": "540-434-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NEFF AVE",
            "address_2": "STE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013495",
            "telephone_number": "540-434-1200",
            "fax_number": "540-434-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "269060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.