Individual provider Active NPI

Jennifer Cristin Masters, D.P.T.

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1366466559
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202950 Issued in VA
Practice address
250 Merchant Walk Ave Ste 300
Charlottesville, VA 22902-6520
Phone
(434) 328-4900
Fax
(434) 295-0420
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 2305202950 VA Primary

Addresses

Primary practice location

250 Merchant Walk Ave Ste 300
Charlottesville, VA 22902-6520

Mailing address

15401 Madison Run Rd
Gordonsville, VA 22942-8723
Phone (540) 672-0233

Other names 1

  • Jennifer Cristin Boast Ramirez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314001451 VA Practitioner - Physical Therapist in Private Practice 4385647494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

250 Merchant Walk SQ
Suite 1103
Charlottesville, VA 22902-6511
Phone (434) 328-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305202950VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Apr 6, 2021 Accepting new patients

Locations

250 Merchant Walk Ave
Ste 300
Charlottesville, VA 22902
Phone (434) 328-4900

1080 Virginia Center Pkwy
Ste 109
Glen Allen, VA 23059
Phone (804) 401-1880

5477 Germanna Hwy
Locust Grove, VA 22508
Phone (540) 972-9610

2303 N Augusta St
Ste E
Staunton, VA 24401
Phone (540) 886-4510

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1366466559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 MADISON RUN RD",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "229428723",
            "telephone_number": "540-672-0233",
            "fax_number": "540-972-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCHANT WALK AVE STE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026520",
            "telephone_number": "434-328-4900",
            "fax_number": "434-295-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "JENNIFER",
        "middle_name": "CRISTIN",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RAMIREZ",
            "middle_name": "CRISTIN BOAST",
            "credential": "PT, DPT, COMT, BCTMB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.