Active NPI
Joel B Eggleston, DPT
- Physical Therapist
- Forest, VA
National Provider Identifier
1316134208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205227
- Practice address
- 1111 Corporate Park Dr Ste B
Forest, VA 24551 - Phone
- (434) 525-4851
- Fax
- (434) 509-1695
- NPI assigned
- Sep 25, 2007
- Last updated
- Aug 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029595-1 | NY | |
| Physical Therapist | 225100000X | 2305205227 | VA | Primary |
Addresses
Primary practice location
1111 Corporate Park Dr Ste B
Forest, VA 24551
Mailing address
20347 Timberlake Rd Ste B
Lynchburg, VA 24502-7352
Phone (434) 845-9053
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029595-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1316134208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20347 TIMBERLAKE RD STE B",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027352",
"telephone_number": "434-845-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CORPORATE PARK DR STE B",
"city": "FOREST",
"state": "VA",
"postal_code": "24551",
"telephone_number": "434-525-4851",
"fax_number": "434-509-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "JOEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029595-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest, VA
- Sandra Small Duis, PH.D.
- Dabney White Dunning, FNP
- Jonathan D. Durst, LPC, LMHC
- Patricia Yeager Earhart
- David L East, O.D.
- Eh Health Home Health of Central Virginia, LLC (Enhabit Home Health)
- Emily Fenning Elmore, PA-C
- Emily Woody LPC LLC
- Empower Counseling PC (Empower Counseling)
- Thomas W Eppes, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.