Individual provider Active NPI

Robert Paul Mahaffy, PT, DPT

  • Physical Therapist
  • Madison Heights, VA
National Provider Identifier
1245115377
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217303 Issued in VA
Practice address
216 Amelon SQ
Madison Heights, VA 24572-5981
Phone
(434) 225-4210
Fax
(434) 225-9794
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 2305217303 VA Primary

Addresses

Primary practice location

216 Amelon SQ
Madison Heights, VA 24572-5981

Mailing address

216 Amelon SQ
Madison Heights, VA 24572-5981
Phone (757) 329-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305217303VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1245115377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 AMELON SQ",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725981",
            "telephone_number": "757-329-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 AMELON SQ",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725981",
            "telephone_number": "434-225-4210",
            "fax_number": "434-225-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFY",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.