Individual provider Active NPI

Jagdeep Singh

  • Physical Therapist
  • Chase City, VA
National Provider Identifier
1356710735
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206212 Issued in VA
Practice address
503 N Main St
Chase City, VA 23924-1407
Phone
(434) 533-3367
Fax
(434) 830-0566
NPI assigned
Sep 16, 2015
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206212 VA Primary

Addresses

Primary practice location

503 N Main St
Chase City, VA 23924-1407

Mailing address

1921 Eastover Dr Apt H
South Boston, VA 24592-2941
Phone (586) 219-7872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513001228 VA Practitioner - Physical Therapist in Private Practice 1850637000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ezephysical Therapy LLCGroup PAC ID 2860738010, 4 clinicians

Practice addresses (Care Compare)

503 N Main St
Chase City, VA 23924-1407
Phone (434) 533-3367

Merit-based Incentive Payment System (MIPS)

Final score
26.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ezephysical Therapy LLC Physical Therapist CurrentSince Jun 6, 2018 Accepting new patients

Locations

141 N Main St
Chase City, VA 23924
Phone (434) 372-2701

503 N Main St
Chase City, VA 23924
Phone (434) 533-3367

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1356710735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 EASTOVER DR APT H",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922941",
            "telephone_number": "586-219-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241407",
            "telephone_number": "434-533-3367",
            "fax_number": "434-830-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JAGDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chase City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.