Christopher Von Pummell
Individual provider Active NPI Physical Therapist · Verona, VA
NPI 1285527671 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1285527671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305217191 (VA)
- Practice address
- 1561 Commerce Rd # 402
Verona, VA 24482-9701 - Phone
- (540) 416-0530
- Fax
- (540) 416-0531
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Sept, LLC
Practice addresses (Care Compare)
1561 Commerce Rd
Suite 402
Verona, VA 24482-9701
Phone (540) 416-0530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820004349 | VA | Practitioner - Physical Therapist in Private Practice | 6800396284 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305217191 | VA | Yes |
Addresses
Primary practice location
1561 Commerce Rd # 402
Verona, VA 24482-9701
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Other providers in Verona, VA
- Stacy Lynn Pettry
- Andy Poole
- Marla Poteat
- Anissa D Powers
- Annette Protil
- Rehab Connect
- Mary Kay Rose
- Wesley J Ross
- Julia I Russ
- Vickie Savage
All providers in Verona, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.