Myra Lynn Pumphrey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003285 Issued in VA

Practice address

5300 Hickory Park Dr
Suite 110
Glen Allen, VA 23059-2629

Phone

(804) 270-7754

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1760434948
  Medicare reassignment Care Compare group NPD
• Progress Rehabilitation Network, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1801915194
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1366473761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HICKORY PARK DR",
            "address_2": "SUITE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592629",
            "telephone_number": "804-270-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "MYRA",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1760434948",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix North Carolina, LP
• Publix North Carolina, LP
• Publix North Carolina, LP
• David William Pumphrey, PT, DPT
• Jerry Orrison Pumphrey, PT, DPT
• Pure Perspectives LLC
• Yaacov Pushkin, M.D.
• PVC Virginia LLC
• Dinora Maria Quintero, DDS
• Kelsey Merle Quinton, DPT

• Physical Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.