NPIMap

Organization Active NPI

MVPT, LLC

Doing business as Midlothian Village Physical Therapy

  • Physical Therapy Clinic/Center
  • Midlothian, VA
National Provider Identifier
1417260209
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305202156 Issued in VA
Legal business name
MVPT, LLC
Doing business as
Midlothian Village Physical Therapy
Practice address
14265 Midlothian Tpke
Midlothian, VA 23113-6560
Phone
(804) 464-2323
Fax
(804) 464-2323
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mr. Christopher Brandon Ream, MPT, CSCSNPI 1649233461
Title
President
Phone
(804) 464-2323

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 Therapy Clinic/Center 261QP2000X 2305202156 VA Primary

Addresses

Primary practice location

14265 Midlothian Tpke
Midlothian, VA 23113-6560

Mailing address

14265 Midlothian Tpke
Midlothian, VA 23113-6560
Phone (804) 464-2323

Other names 1

  • Midlothian Village Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000944 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759570708 Receives reassigned benefits from 10 practitioners
Practice locations: Midlothian, VA; Henrico, VA

National Provider Directory

National Provider Directory

Locations

15521 Midlothian Tpke
Ste 301
Midlothian, VA 23113
Phone (804) 464-2323

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1417260209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14265 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136560",
            "telephone_number": "804-464-2323",
            "fax_number": "804-464-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14265 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136560",
            "telephone_number": "804-464-2323",
            "fax_number": "804-464-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "REAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-464-2323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305202156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlothian Village Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.