Jerry Orrison Pumphrey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305002651 Issued in VA

Practice address

5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629

Phone

(804) 756-8495

Fax

(804) 270-7756

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Progress Rehabilitation Network, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1801915194
  NPD (past) Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1316999766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-756-8495",
            "fax_number": "804-270-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-756-8495",
            "fax_number": "804-270-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "JERRY",
        "middle_name": "ORRISON",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1760434948",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix North Carolina, LP
• Publix North Carolina, LP
• Publix North Carolina, LP
• Publix North Carolina, LP
• David William Pumphrey, PT, DPT
• Myra Lynn Pumphrey, P.T.
• Pure Perspectives LLC
• Yaacov Pushkin, M.D.
• PVC Virginia LLC
• Dinora Maria Quintero, DDS

• Physical Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.