Natalie Conway, PT, MPT, OCS, ATC

Individual provider Active NPI Physical Therapist · Gloucester, VA

NPI 1306807375 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1306807375
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305004066 (VA)
Practice address
6970 Fox Hunt LN
Gloucester, VA 23061-5394
Phone
(757) 694-8111
Fax
(804) 694-5574
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLC (225 clinicians)

Practice addresses (Care Compare)

100 Winters St
Suite 103
West Point, VA 23181-9534
Phone (804) 843-9033

4125 Ironbound Rd
Williamsburg, VA 23188-2666

6493 Centerville Rd
Suite 200
Williamsburg, VA 23188-2046
Phone (757) 345-0753

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100 (group)
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100514000712 VA Practitioner - Physical Therapist in Private Practice 9335277193 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305004066VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Feb 25, 1999
Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Feb 25, 1999
Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

6970 Fox Hunt Ln
Gloucester, VA 23061
Phone (804) 694-8111

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305004066 VA Yes

Addresses

Primary practice location

6970 Fox Hunt LN
Gloucester, VA 23061-5394

Mailing address

PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302

Other identifiers

IdentifierTypeStateIssuer
192960OtherVABCBS PHYSICAL THERAPY
8928525MedicaidVA
650016000OtherVAMEDICARE RAILROAD
5970253OtherVAAETNA

Other names

  • Natalie Nunes Former name

Other providers in Gloucester, VA

All providers in Gloucester, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.