Active NPI
Balachandran Dhamodaran, PT
- Physical Therapist
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206418
- Practice address
- 2405 Atherholt Rd
Lynchburg, VA 24501-2184 - Phone
- (434) 485-8500
- Fax
- (434) 485-8599
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206418 | VA | Primary |
Addresses
Primary practice location
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Mailing address
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone (434) 485-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235456914 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
North Chesterfield, VA 23225
Phone (804) 533-2357
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc | Physical Therapist | Current | Accepting new patients |
| Orthovirginia, Inc. | Past | Accepting new patients |
Locations
14521 Forest Rd
Ste D
Forest, VA 24551
Phone (434) 485-8500
2405 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 485-8500
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1235456914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012184",
"telephone_number": "434-485-8500",
"fax_number": "434-485-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012184",
"telephone_number": "434-485-8500",
"fax_number": "434-485-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHAMODARAN",
"first_name": "BALACHANDRAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235456914",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.