Individual provider Active NPI

Levi Peters, PT,DPT

  • Physical Therapist
  • Bedford, VA
National Provider Identifier
1235858408
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215294 Issued in VA
Practice address
1380 American Way Court
Unit C, Mail Box #3
Bedford, VA 24523
Phone
(540) 583-5118
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215294 VA Primary

Addresses

Primary practice location

1380 American Way Court
Unit C, Mail Box #3
Bedford, VA 24523

Mailing address

8301 Jackson River Rd
Hot Springs, VA 24445-2417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002446 VA Practitioner - Physical Therapist in Private Practice 7911351457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapies of Roanoke, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Professional Therapies of Roanoke Inc. CurrentSince Jul 1, 2023 Accepting new patients
Professional Therapies of Roanoke, Inc. Physical Therapist Current Accepting new patients

Locations

21371 Forsythe Rd
Bristol, VA 24202
Phone (276) 209-6609

103 W Edge Way
Ste 10
Lynchburg, VA 24502
Phone (434) 200-8215

6800 Woodlake Commons Loop
Midlothian, VA 23112
Phone (804) 302-4589

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1235858408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 JACKSON RIVER RD",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244452417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 AMERICAN WAY COURT",
            "address_2": "UNIT C, MAIL BOX #3",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "24523",
            "telephone_number": "540-583-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LEVI",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.