Active NPI
Physical Therapy Works, Inc.
- Physical Therapy Clinic/Center
- Suffolk, VA
National Provider Identifier
1366433112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSICAL THERAPY WORKS, INC.
- Practice address
- 2007 Meade Pkwy
Suffolk, VA 23434-4259 - Phone
- (757) 539-6300
- Fax
- (757) 539-0704
- NPI assigned
- Nov 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Trenton Bishop
- Title
- Practice Administrator
- Phone
- (757) 539-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2007 Meade Pkwy
Suffolk, VA 23434-4259
Mailing address
2007 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 539-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004979796 | Medicaid | VA |
Other names 1
- Physical Therapy Works
National Provider Directory
National Provider DirectoryLocations
1250 Smithfield Plz
Smithfield, VA 23430
Phone (757) 357-6869
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Suffolk, VA
- NPI 1851555163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342396800000",
"number": "1366433112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-539-6300",
"fax_number": "757-539-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-539-6300",
"fax_number": "757-539-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY WORKS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2012-07-16",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "TRENTON",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "757-539-6300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004979796",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physical Therapy Works",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.