Individual provider Active NPI

Kenneth Charles Loud, PT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1295917151
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003180 Issued in VA
Practice address
747 Volvo Pkwy
103
Chesapeake, VA 23320-1615
Phone
(757) 420-2880
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003180 VA Primary

Addresses

Primary practice location

747 Volvo Pkwy
103
Chesapeake, VA 23320-1615

Mailing address

747 Volvo Pkwy
103
Chesapeake, VA 23320-1615
Phone (757) 420-2880

Other identifiers 10

IdentifierTypeStateIssuer
64-00296OtherUNITED HEALTHCARE
193561OtherANTHEM
2138099OtherFIRST HEALTH
615185OtherVAALLIANCE HMO,EC,MC
615185OtherMAMSI/OPT/MDOPA/ALLIANCE
990011349OtherRAILROAD MEDICARE
57767OtherOPTIMA HEALTH INS
193561OtherHEALTHKEEPERS
3223253OtherAETNA
615185OtherALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000704 VA Practitioner - Physical Therapist in Private Practice 5496764292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center of Chesapeake PLCGroup PAC ID 3476621558, 3 clinicians

Practice addresses (Care Compare)

747 Volvo Pkwy
Suite 103
Chesapeake, VA 23320-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Chesapeake PLC Physical Therapist CurrentSince May 1, 2008 Accepting new patients

Locations

747 Volvo Pkwy
Ste 103
Chesapeake, VA 23320
Phone (757) 420-2880

1059 Eden Way N
Ste 102
Chesapeake, VA 23320
Phone (757) 420-2880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1295917151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 VOLVO PKWY",
            "address_2": "103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201615",
            "telephone_number": "757-420-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 VOLVO PKWY",
            "address_2": "103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201615",
            "telephone_number": "757-420-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUD",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-00296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "193561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2138099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE HMO,EC,MC",
            "identifier": "615185",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPT/MDOPA/ALLIANCE",
            "identifier": "615185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990011349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH INS",
            "identifier": "57767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "193561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3223253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "615185",
            "state": null
        }
    ],
    "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 Nov 14, 2008; 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.