Individual provider Active NPI

Pamela R. Bridgeforth, MSPT

  • Geriatric Physical Therapist
  • Midlothian, VA
National Provider Identifier
1285951624
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
2305002246 Issued in VA
Practice address
1 Park West Cir
Suite 108
Midlothian, VA 23114-5551
Phone
(804) 379-9265
Fax
(804) 482-2647
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 2305002246 VA Primary

Addresses

Primary practice location

1 Park West Cir
Suite 108
Midlothian, VA 23114-5551

Mailing address

5513 Limestone Dr
Richmond, VA 23224-2827

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
2305002246VAMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1285951624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 LIMESTONE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST CIR",
            "address_2": "SUITE 108",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145551",
            "telephone_number": "804-379-9265",
            "fax_number": "804-482-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEFORTH",
        "first_name": "PAMELA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305002246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.