Active NPI
Susan C Parks, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1427355478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004212
- Practice address
- 2224 Virginia Beach Blvd
Virginia Beach, VA 23454-4285 - Phone
- (757) 486-8663
- NPI assigned
- Feb 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004212 | VA | Primary |
Addresses
Primary practice location
2224 Virginia Beach Blvd
Virginia Beach, VA 23454-4285
Mailing address
806 Addison CT
Virginia Beach, VA 23462-6904
Phone (757) 486-8663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2224 Virginia Beach Blvd
Suite 106
Virginia Beach, VA 23454-4285
Phone (757) 486-8663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy M. Hernandez, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2224 Virginia Beach Blvd
Ste 106
Virginia Beach, VA 23454
Phone (757) 486-8663
Organizations & group practices 1
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1487664264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1427355478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 ADDISON CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626904",
"telephone_number": "757-486-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544285",
"telephone_number": "757-486-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-26",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.