Individual provider Active NPI

Elizabeth Wu, DPT, PT

  • Physical Therapist
  • Ashland, VA
National Provider Identifier
1407576804
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP029528T Issued in VA
Practice address
203 N Washington Hwy
Ashland, VA 23005-1623
Phone
(804) 798-1112
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 CP029528T VA Primary

Addresses

Primary practice location

203 N Washington Hwy
Ashland, VA 23005-1623

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, NY, KY, VA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220913000104 TX Practitioner - Physical Therapist in Private Practice 8325423494 Reassigns benefits to 1 organization
I20240319003358 DC Practitioner - Physical Therapist in Private Practice 8325423494 Reassigns benefits to 1 organization
I20250225001499 NY Practitioner - Physical Therapist in Private Practice 8325423494 Reassigns benefits to 1 organization
I20250326000766 KY Practitioner - Physical Therapist in Private Practice 8325423494 Reassigns benefits to 1 organization
I20250813000006 VA Practitioner - Physical Therapist in Private Practice 8325423494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

203 N Washington Hwy
Ashland, VA 23005-1623
Phone (804) 798-1112

9980 Brook Rd
Unit 16
Glen Allen, VA 23059-6501
Phone (804) 550-5730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP029528TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 4, 2022 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Aug 4, 2022 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Mar 13, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Park North Physical Therapy, PLLC CurrentSince Dec 16, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Mar 13, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Mar 1, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

2804 Broadway
New York, NY 10025
Phone (212) 222-6525

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1201 Barbara Jordan Blvd
Ste 600
Austin, TX 78723
Phone (512) 900-8880

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

203 N Washington Hwy
Ashland, VA 23005
Phone (804) 340-1193

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

Organizations & group practices 10

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1407576804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051623",
            "telephone_number": "804-798-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ELIZABETH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP029528T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.