Juan Pablo Duran

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211307 Issued in VA

Practice address

3509 Chestnut Ave
Newport News, VA 23607-3201

Phone

(757) 271-5055

Fax

(844) 442-5168

NPI assigned

Jul 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifefit Physical Therapy and Wellness LLCGroup PAC ID 4981125291, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifefit Physical Therapy and Wellness LLC

  • Physical Therapist
  • Williamsburg, VA
  • NPI 1407672975
  Medicare reassignment Care Compare group NPD
• Fusion Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1265728307
  NPD
• Legacy Lab Services

  • Clinical Medical Laboratory
  • Williamsburg, VA
  • NPI 1083290431
  NPD
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)
• Virginia Hospital Center Arlington Health System

  • Pharmacy
  • Arlington, VA
  • NPI 1790045052
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1255855797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 CHESTNUT AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073201",
            "telephone_number": "757-271-5055",
            "fax_number": "844-442-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 CHESTNUT AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073201",
            "telephone_number": "757-271-5055",
            "fax_number": "844-442-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5388 Discovery Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-903-4230",
            "fax_number": "757-903-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JUAN PABLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Elizabeth Dunfee, PA
• Alexandra E. Dunk, DO
• Juquala Vonsha' Dunlap, LPC
• Alyna Duong, DO
• Kayla Jordan Dupree, PT, DPT
• Alana Boyd Durham
• Pelin Duzenli, M.D.
• Natasha Dwamena, M.D.
• Meenal D. Dwyer, M.D.
• Dynox

• All providers in Newport News, VA
• Physical Therapist in Virginia

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

Verify at the official NPI Registry.