Organization Active NPI

Formation PT & Performance PLLC

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1225709306
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORMATION PT & PERFORMANCE PLLC
Practice address
8 S Crenshaw Ave
Richmond, VA 23221-2732
Phone
(804) 442-6212
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Allison Beale, PT, DPTNPI 1073159695
Title
Founder, Physical Therapist
Phone
(804) 442-6212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8 S Crenshaw Ave
Richmond, VA 23221-2732

Mailing address

8 S Crenshaw Ave
Richmond, VA 23221-2732
Phone (804) 442-6212

Other names 1

  • Formation PT & Performance Doing business as

National Provider Directory

National Provider Directory

Locations

8 S Crenshaw Ave
Richmond, VA 23221
Phone (804) 442-6212

131 Richmond Hwy
Richmond, VA 23224
Phone (804) 442-6212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1225709306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S CRENSHAW AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212732",
            "telephone_number": "804-442-6212",
            "fax_number": "804-508-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S CRENSHAW AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212732",
            "telephone_number": "804-442-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMATION PT & PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "FOUNDER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "804-442-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Formation PT & Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Formation PT & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.