Individual provider Active NPI

Jimmy Daniel Price, MPT

  • Physical Therapist
  • Lebanon, VA
National Provider Identifier
1407033590
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202460 Issued in VA
Practice address
272 Highland Dr
Lebanon, VA 24266-4666
Phone
(276) 889-4090
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 2305202460 VA Primary

Addresses

Primary practice location

272 Highland Dr
Lebanon, VA 24266-4666

Mailing address

272 Highland Dr
Lebanon, VA 24266-4666
Phone (276) 889-4090

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305202460VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Claypool Hill Physical Therapy Physical Therapist Current Accepting new patients
Lebanon Physical Therapy and Rehabilitative Services, LLC Past Accepting new patients

Locations

177 Wellness Dr
Cedar Bluff, VA 24609
Phone (276) 964-4018

Organizations & group practices 2

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1407033590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664666",
            "telephone_number": "276-889-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664666",
            "telephone_number": "276-889-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JIMMY",
        "middle_name": "DANIEL",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.