Individual provider Active NPI

Baburam Thapa, PT

  • Physical Therapist
  • Stafford, VA
National Provider Identifier
1215466875
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214937 Issued in VA
Practice address
95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Phone
(703) 523-9565
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041635 NY
Physical Therapist 225100000X P19969 NC
Physical Therapist 225100000X 2305214937 VA Primary

Addresses

Primary practice location

95 Dunn Dr Ste 123
Stafford, VA 22556-1503

Mailing address

95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Phone (703) 523-9565

Other practice location 1

9412 Lefferts Blvd
South Richmond Hill, NY 11419-1222
Phone (603) 496-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19969NCMDPhysical Therapist
041635NYMDPhysical Therapist
2305214937VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Prince William Area Community Health Center Inc Current Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Dec 25, 2023 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 31, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2021 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Dec 25, 2023 Accepting new patients
Greater Prince William Area Community Health Center Inc CurrentSince Jan 31, 2023 Accepting new patients

Locations

17739 Main St
Ste 130
Dumfries, VA 22026
Phone (703) 680-7950

9705 Liberia Ave
Ste 201
Manassas, VA 20110
Phone (703) 519-1725

95 Dunn Dr
Ste 123
Stafford, VA 22556
Phone (540) 659-2111

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

3350 Commission Ct
Woodbridge, VA 22192
Phone (703) 680-7950

Organizations & group practices 6

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1215466875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 DUNN DR STE 123",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561503",
            "telephone_number": "703-523-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DUNN DR STE 123",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561503",
            "telephone_number": "703-523-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9412 Lefferts Blvd",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114191222",
            "country_code": "US",
            "telephone_number": "603-496-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAPA",
        "first_name": "BABURAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-01-16",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041635",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19969",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.