NPIMap

Organization Active NPI

Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
National Provider Identifier
1235955709
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
IVYREHAB SEPT, LLC
Practice address
1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Phone
(540) 416-0530
NPI assigned
Nov 29, 2024
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Ashley Griffiths
Title
Director of Payer Relations
Phone
(914) 294-4050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1561 Commerce Rd Ste 402
Verona, VA 24482-9701

Mailing address

PO Box 412307
Boston, MA 02241-2307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818001026 VA DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 7911990908 Practice locations: Verona, VA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Physical Therapy19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations (25 of 37)

1622 Timberwood Blvd
Ste 211112
Charlottesville, VA 22911
Phone (434) 202-2830

2017 Woodbrook Ct
Charlottesville, VA 22901
Phone (434) 817-4100

3918 Lenox Ave
Ste 430
Charlottesville, VA 22901
Phone (434) 951-6355

696 Berkmar Cir
Charlottesville, VA 22901
Phone (434) 817-4100

502 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-4100

902 E Jefferson St
Ste 101
Charlottesvle, VA 22902
Phone (434) 295-6515

1301 Cedar Rd
Chesapeake, VA 23322
Phone (757) 512-7626

905 Battlefield Blvd N
Ste 105
Chesapeake, VA 23320
Phone (757) 410-3157

3509 Festival Park Plz
Chester, VA 23831
Phone (804) 585-6723

133 Market Center Way
Ste 2
Daleville, VA 24083
Phone (540) 242-3017

10504 Wakeman Dr
Fredericksburg, VA 22407
Phone (540) 315-8249

1072 W Mercury Blvd
Ste 1062B
Hampton, VA 23666
Phone (757) 644-0644

7225 Bell Creek Rd
Ste 256
Mechanicsville, VA 23111
Phone (804) 486-6860

4818 Market Square Ln
Midlothian, VA 23112
Phone (804) 744-3993

5201 Commonwealth Centre Pkwy
Midlothian, VA 23112
Phone (804) 761-6468

803 Diligence Dr
#100A
Newport News, VA 23606
Phone (757) 782-2631

765 W Little Creek Rd
Ste A
Norfolk, VA 23505
Phone (757) 423-8885

801 W Little Creek Rd
Ste 102
Norfolk, VA 23505
Phone (757) 423-8885

2610 Buford Rd
North Chesterfield, VA 23235
Phone (804) 923-3933

109 Crofton Pl
Palmyra, VA 22963
Phone (434) 589-9588

5421 Patterson Ave
Richmond, VA 23226
Phone (804) 285-2006

8767 Seminole Trl
Ste 101
Ruckersville, VA 22968
Phone (434) 985-6909

8833 Seminole Trl
Ruckersville, VA 22968
Phone (434) 985-2288

1221 W Main St
Salem, VA 24153
Phone (540) 523-1813

1009 Centerbrooke Ln
Ste 103
Suffolk, VA 23434
Phone (757) 744-5600

Practitioners & affiliated clinicians

Practitioners 361

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 361

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1235955709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 COMMERCE RD STE 402",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244829701",
            "telephone_number": "540-416-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB SEPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "914-294-4050"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.