Core Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305003472 Issued in VA

Legal business name

CORE PHYSICAL THERAPY LLC

Practice address

3007 Wakefield Dr
Blacksburg, VA 24060-8186

Phone

(302) 383-0620

Fax

(540) 315-9868

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Brenda L. Miller, PTNPI 1932247111

Title

Physical Therapist

Phone

(302) 383-0620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Miller, PT,OCS

  • Physical Therapy Clinic/Center
  • Blacksburg, VA
  • NPI 1932247111
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Bassler, PT, DPT

  • Physical Therapist
  • Blacksburg, VA
  • NPI 1710647169
  Medicare reassignment Care Compare group NPD
• Kathryn Elizabeth Buss, PT, DPT

  • Physical Therapist
  • Blacksburg, VA
  • NPI 1548954522
  Medicare reassignment Care Compare group NPD
• Maria Petronila Tibung, PT, DPT

  • Physical Therapist
  • Blacksburg, VA
  • NPI 1689079766
  Medicare reassignment Care Compare group
• Mary Nicely Sowers, DPT

  • Physical Therapist
  • Savannah, GA
  • NPI 1922792035

  VA

  Medicare reassignment NPD
• Morgan Chocklett Corl, PT, DPT, OCS

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1467946038
  NPD

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1356798565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 WAKEFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608186",
            "telephone_number": "302-383-0620",
            "fax_number": "540-315-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WAKEFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608186",
            "telephone_number": "302-383-0620",
            "fax_number": "540-315-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "302-383-0620",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305003472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circe Cooke, MD
• Debra Cooper, L/COTA
• Lee Cooper, PH.D.
• Virginia Rogers Cooper, MS, LPC
• Melissa Cordell, LPC
• Cosmetic Vein Centers of Virginia
• Dennis J Cotellese, N.P.
• Counseling Associates of Southwest Virginia, Inc
• Counseling Associates of Southwest Virginia, Inc.
• Counseling Solutions

• Physical Therapy Clinic/Center in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.