Individual provider Active NPI

Ciana Enav

  • Physical Therapist
  • Colonial Heights, VA
National Provider Identifier
1386201234
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212792 Issued in VA
Practice address
320B Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2938
Phone
(804) 524-0533
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 2305212792 VA Primary

Addresses

Primary practice location

320B Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2938

Mailing address

320B Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212792VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Sports, Inc. PastSince Oct 9, 2021 Accepting new patients

Organizations & group practices 1

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1386201234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320B CHARLES H DIMMOCK PKWY",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320B CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342938",
            "telephone_number": "804-524-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAV",
        "first_name": "CIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.