Physical Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL REHABILITATION LLC

Practice address

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730

Phone

(804) 281-4305

Fax

(804) 281-4310

NPI assigned

Jun 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Randolph M Jenkins Jr., MD

Title

Owner

Phone

(804) 281-4305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624147200000",
    "number": "1245809706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SUMMIT AVENUE",
            "address_2": "SUITE 300 #506",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-281-4305",
            "fax_number": "804-281-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-281-4305",
            "fax_number": "804-281-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-281-4305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Petrozza, PHARMD, RPH
• Angela Dawn Cheatham Petry, LPC
• Jeannette Pfeffer, PT,DPT
• Brian Phelps, M.ED., BCBA, LBA
• Nichole Aura Phillips, LPC
• Physical Therapy Specialists of Virginia LLC
• Robert Nicholas Pica, DPM
• Pieces of Me Counseling, LLC
• Alyssa Piedrahita
• Pinay Transport, LLC

• Physical Medicine & Rehabilitation Physician in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.