Organization Active NPI

Qol Co PT LLC

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1396482014
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
QOL CO PT LLC
Practice address
129 W Virginia Beach Blvd Ste 150a
Norfolk, VA 23510-2030
Phone
(757) 585-3303
NPI assigned
May 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Authorized official

Name
Arron AcheyNPI 1891270617
Title
Physical Therapist
Phone
(757) 585-3303

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

129 W Virginia Beach Blvd Ste 150a
Norfolk, VA 23510-2030

Mailing address

129 W Virginia Beach Blvd Ste 210
Norfolk, VA 23510-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121000861 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153779780 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

129 W Virginia Beach Blvd
Ste 150A
Norfolk, VA 23510
Phone (757) 585-3303

129 W Virginia Beach Blvd
Ste 210
Norfolk, VA 23510
Phone (757) 585-3303

Practitioners & affiliated clinicians

Practitioners 2

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": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1396482014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 150A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-585-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QOL CO PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "ACHEY",
        "authorized_official_first_name": "ARRON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-585-3303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jan 21, 2024; 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.