Individual provider Active NPI

Jeff Landy, DPT

  • Physical Therapist
  • Winchester, VA
National Provider Identifier
1225405798
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209864 Issued in VA
Practice address
817 Cedar Creek Grade
Winchester, VA 22601-6460
Phone
(540) 450-8024
NPI assigned
Aug 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209864 VA Primary
Physical Therapist 225100000X PT003712 WV

Addresses

Primary practice location

817 Cedar Creek Grade
Winchester, VA 22601-6460

Mailing address

817 Cedar Creek Grade
Winchester, VA 22601-6460
Phone (540) 450-8024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014002473 VA Practitioner - Physical Therapist in Private Practice 4587973540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialists of Winchester IncGroup PAC ID 6800048976, 3 clinicians

Practice addresses (Care Compare)

2433 Valley Ave
Suite 103
Winchester, VA 22601-6456
Phone (540) 450-8024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003712WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists of Winchester, Inc. CurrentSince Mar 8, 2021 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist PastSince Jan 11, 2017 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist PastSince Mar 22, 2020 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

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

2433 Valley Ave
Ste 103
Winchester, VA 22601
Phone (540) 450-8024

Organizations & group practices 5

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1225405798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "JEFF",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209864",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

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