Organization Active NPI

Ackiss Physical Therapy

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1376722645
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004384 Issued in VA
Legal business name
ACKISS PHYSICAL THERAPY
Practice address
700 Newtown Rd
Suite 9
Norfolk, VA 23502-3925
Phone
(757) 963-5949
Fax
(757) 963-6472
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
John Dillan Ackiss, PT, MS, OCSNPI 1467439737
Title
Physical Therapist/Owner
Phone
(757) 963-5949

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 Therapist 225100000X 2305004384 VA Primary

Addresses

Primary practice location

700 Newtown Rd
Suite 9
Norfolk, VA 23502-3925

Mailing address

700 Newtown Rd
Suite 9
Norfolk, VA 23502-3925
Phone (757) 963-5949

National Provider Directory

National Provider Directory

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1376722645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NEWTOWN RD",
            "address_2": "SUITE 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023925",
            "telephone_number": "757-963-5949",
            "fax_number": "757-963-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NEWTOWN RD",
            "address_2": "SUITE 9",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023925",
            "telephone_number": "757-963-5949",
            "fax_number": "757-963-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKISS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ACKISS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DILLAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "757-963-5949",
        "authorized_official_credential": "PT, MS, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.