Individual provider Active NPI

Jeremy C Whitmore, DPT, CSCS

  • Physical Therapist
  • Greenville, VA
National Provider Identifier
1457517377
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205584 Issued in VA
Practice address
4171 Lee Jackson Hwy Ste 109
Greenville, VA 24440-1772
Phone
(540) 900-2758
NPI assigned
Jul 30, 2008
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 2305205584 VA Primary

Addresses

Primary practice location

4171 Lee Jackson Hwy Ste 109
Greenville, VA 24440-1772

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

563 University Blvd
Harrisonburg, VA 22801-3752
Phone (540) 534-1338

Other identifiers 1

IdentifierTypeStateIssuer
192959OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000784 VA Practitioner - Physical Therapist in Private Practice 1052470333 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4171 Lee Jackson Hwy
Suite 109
Greenville, VA 24440-1772
Phone (540) 900-2758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Radius PT of Virginia LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist Past Accepting new patients
Advantage Physical Therapy & Sports Performance, P.C. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

171 E Springbrook Rd
Broadway, VA 22815
Phone (540) 434-1699

140 Shen Elk Plz
Elkton, VA 22827
Phone (540) 284-4749

313 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 434-1200

563 University Blvd
Harrisonburg, VA 22801
Phone (540) 534-1338

563 University Blvd
Ste 152
Harrisonburg, VA 22801
Phone (540) 534-1338

4165 Quarles Ct
#1
Rockingham, VA 22801
Phone (540) 437-7585

54 Franklin St
Weyers Cave, VA 24486
Phone (540) 234-8800

54 Franklin St
Ste 112
Weyers Cave, VA 24486
Phone (540) 234-8800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1457517377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 LEE JACKSON HWY STE 109",
            "city": "GREENVILLE",
            "state": "VA",
            "postal_code": "244401772",
            "telephone_number": "540-900-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013752",
            "country_code": "US",
            "telephone_number": "540-534-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "JEREMY",
        "middle_name": "C",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192959",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.