NPIMap

Organization Active NPI

Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1205809506
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY AT ACAC
Practice address
504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone
(434) 817-7848
Fax
(434) 951-2194
NPI assigned
Feb 8, 2006
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSCIAL THERAPY AT ACAC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Christine Neri
Title
Business Operations Director
Phone
(434) 817-7848

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X VA Primary
Hand Occupational Therapist 225XH1200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

504 Albemarle SQ
Charlottesville, VA 22901-7405

Mailing address

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

Other identifiers 3

IdentifierTypeStateIssuer
205318000OtherDEPT OF LABOR
75273OtherVACOMMUNITY HEALTH
239853OtherVASOUTHERN HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728000284 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214907211 Receives reassigned benefits from 65 practitioners
Practice locations: Crozet, VA; Charlottesville, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy at Acac9 organizations share this tax ID, including this one
Part of
Physical Therapy at Acac

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 Monticello Ave
Ste B
Charlottesville, VA 22902
Phone (434) 817-4276

410 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 817-4278

416 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 220-0021

1015 Heathercroft Cir
Ste 200
Crozet, VA 22932
Phone (434) 817-4283

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1205809506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-465-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AT ACAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSCIAL THERAPY AT ACAC LLC",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "434-817-7848"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "205318000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "75273",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "239853",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.