Organization Active NPI

Orthopedic Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Richmond, VA
National Provider Identifier
1376536441
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ORTHOPEDIC PHYSICAL THERAPY INC
Practice address
2000 Bremo Rd
Suite 202
Richmond, VA 23226-2440
Phone
(804) 285-0148
Fax
(804) 673-6026
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Ms. Tracey K Adler, MS PT OCSNPI 1437236106
Title
President Owner
Phone
(804) 285-0148

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X VA Primary

Addresses

Primary practice location

2000 Bremo Rd
Suite 202
Richmond, VA 23226-2440

Mailing address

2000 Bremo Rd
Suite 202
Richmond, VA 23226-2440
Phone (804) 285-0148

Other identifiers 1

IdentifierTypeStateIssuer
087525OtherVABC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000395 VA Part B Supplier - Clinic/Group Practice 0648309799 Receives reassigned benefits from 6 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2000 Bremo Rd
Ste 202
Richmond, VA 23226
Phone (804) 285-0148

2010 Bremo Rd
Ste 137
Richmond, VA 23226
Phone (804) 285-0148

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1376536441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-285-0148",
            "fax_number": "804-673-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-285-0148",
            "fax_number": "804-673-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "804-285-0148",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS PT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "087525",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.