NPIMap

Organization Active NPI

Healing Hands Physical Therapy, Inc.

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1346277316
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202603 Issued in VA
Legal business name
HEALING HANDS PHYSICAL THERAPY, INC.
Practice address
676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306
Phone
(757) 436-2695
Fax
(757) 436-2697
NPI assigned
Jun 27, 2006
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Dr. Michelle Campbell Douglas, DPTNPI 1114933587
Title
President
Phone
(757) 436-2695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005425 VA
Physical Therapist 225100000X 2305202603 VA Primary

Addresses

Primary practice location

676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306

Mailing address

676 Battlefield Blvd N Ste C
Chesapeake, VA 23320-0306
Phone (757) 436-2695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061206000213 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305845074 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

612 Kingsborough Sq
Ste 203
Chesapeake, VA 23320

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1346277316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 BATTLEFIELD BLVD N STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200306",
            "telephone_number": "757-436-2695",
            "fax_number": "757-436-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 BATTLEFIELD BLVD N STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200306",
            "telephone_number": "757-436-2695",
            "fax_number": "757-436-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-436-2695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005425",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202603",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.