Individual provider Active NPI

Victoria Agud, PT, DPT, LAT, ATC

  • Physical Therapist
  • Harrisonburg, VA
National Provider Identifier
1306361019
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214607 Issued in VA
Practice address
2035 E Market St Ste 45
Harrisonburg, VA 22801-8880
Phone
(540) 209-8977
Fax
(540) 298-8980
NPI assigned
Aug 3, 2017
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X 2305214607 VA Primary

Addresses

Primary practice location

2035 E Market St Ste 45
Harrisonburg, VA 22801-8880

Mailing address

171 E Springbrook Rd
Broadway, VA 22815-9526
Phone (540) 901-9501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001207 VA Practitioner - Physical Therapist in Private Practice 4880092824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radius PT of Virginia LLCGroup PAC ID 4587057641, 5 clinicians

Practice addresses (Care Compare)

563 University Blvd
Suite 152
Harrisonburg, VA 22801-3752
Phone (540) 534-1338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Radius PT of Virginia LLC Physical Therapist CurrentSince Jun 4, 2024 Accepting new patients

Locations

171 E Springbrook Rd
Broadway, VA 22815
Phone (540) 434-1699

563 University Blvd
Ste 152
Harrisonburg, VA 22801
Phone (540) 534-1338

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1306361019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E SPRINGBROOK RD",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159526",
            "telephone_number": "540-901-9501",
            "fax_number": "540-901-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 E MARKET ST STE 45",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018880",
            "telephone_number": "540-209-8977",
            "fax_number": "540-298-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUD",
        "first_name": "VICTORIA",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.