Organization Active NPI

Peninsula Hand Therapy PLLC

  • Hand Occupational Therapist
  • Newport News, VA
National Provider Identifier
1376139790
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
PENINSULA HAND THERAPY PLLC
Practice address
732 Thimble Shoals Blvd Ste 905
Newport News, VA 23606-4218
Phone
(757) 916-5800
NPI assigned
Dec 20, 2020
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Kerry A Bate, OT, CHTNPI 1376765032
Title
Owner
Phone
(917) 881-0963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 905
Newport News, VA 23606-4218

Mailing address

732 Thimble Shoals Blvd Ste 905
Newport News, VA 23606-4218
Phone (757) 916-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210223000399 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294140323 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA
O20210617000650 VA DME Supplier - Independently-Practicing Occupational Therapist 5294140323 Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

732 Thimble Shoals Blvd
Ste 905
Newport News, VA 23606
Phone (757) 867-9424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1376139790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 905",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064218",
            "telephone_number": "757-916-5800",
            "fax_number": "757-916-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 905",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064218",
            "telephone_number": "757-916-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HAND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BATE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-881-0963",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.