Active NPI
Ginnie Ileto
- Physical Therapist
- Chesapeake, VA
National Provider Identifier
1265723233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206851
- Practice address
- 516 Innovation Dr Ste 100
Chesapeake, VA 23320-3868 - Phone
- (757) 842-6562
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206851 | VA | Primary |
| Physical Therapist | 225100000X | 37437 | CA |
Addresses
Primary practice location
516 Innovation Dr Ste 100
Chesapeake, VA 23320-3868
Mailing address
516 Innovation Drive, Suite 100
Chesapeake, VA 23320
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37437 | CA | MD | Dentist |
| 2305206851 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jrose Integrative Therapy | Past | Accepting new patients | |
| Restorative Physical Therapy & Wellness LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Chesapeake, VA
- NPI 1598932113
-
- Physical Therapy Clinic/Center
- Chesapeake, VA
- NPI 1770955312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1265723233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 INNOVATION DRIVE, SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 INNOVATION DR STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203868",
"telephone_number": "757-842-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILETO",
"first_name": "GINNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206851",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37437",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.