Organization Active NPI

Conjugate Physical Therapy PLLC

  • Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1417845231
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONJUGATE PHYSICAL THERAPY PLLC
Practice address
2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402
Phone
(832) 370-8513
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Cory PrinceNPI 1306539382
Title
PT
Phone
(832) 370-8513

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

2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402

Mailing address

2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930001613 VA Part B Supplier - Clinic/Group Practice 6002319399 Receives reassigned benefits from 1 practitioner
Practice locations: Lynchburg, VA

National Provider Directory

National Provider Directory

Locations

2050 Langhorne Rd
Ste 202
Lynchburg, VA 24501
Phone (434) 248-0145

Practitioners & affiliated clinicians

Practitioners 1

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": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1417845231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD STE 202",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD STE 202",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402",
            "telephone_number": "832-370-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONJUGATE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "832-370-8513"
    },
    "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 Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.