Elena Dernovish, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216472 Issued in VA

Practice address

1340 Gaskins Rd Unit 12
Henrico, VA 23238-4919

Phone

(804) 747-4417

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Manual Edge Physical Therapy Specialists LLCGroup PAC ID 5597161125, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1760434948
  Medicare reassignment Care Compare group NPD
• Manual Edge Physical Therapy Specialists LLC

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
  • NPI 1609542109
  Medicare reassignment Care Compare group NPD
• Progress Rehabilitation Network, LLC

  dba Progress Physical Therapy

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1801915194
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1407696040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 GASKINS RD UNIT 12",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 GASKINS RD UNIT 12",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384919",
            "telephone_number": "804-747-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNOVISH",
        "first_name": "ELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrick Omar Dennis
• Jerron A Dennis Sr.
• Philip Israel Denny, NP
• Truman Deree, ME
• Stephanie Schuchert Derhovhannessian, LCSW
• Alysha Deshazo
• Micheal A Dewey, PHARMD
• Tiffany Dews
• Rachna Dhar, M.D.
• Madhavi Dhuri

• Physical Therapist in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.