Individual provider Active NPI

Nicholas Stewart Law, DPT

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1457798670
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207922 Issued in VA
Practice address
2120 Berkmar Dr
Charlottesville, VA 22901-1424
Phone
(434) 872-1850
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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 2305207922 VA Primary

Addresses

Primary practice location

2120 Berkmar Dr
Charlottesville, VA 22901-1424

Mailing address

1800 Brenda CT
Charlottesville, VA 22901-2909
Phone (434) 872-1850

Other practice location 1

1800 Brenda Ct
Charlottesville, VA 22901-2909
Phone (434) 872-1850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730003101 VA Practitioner - Physical Therapist in Private Practice 1850534900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207922VAMDPhysical Therapist
7016SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Life Physical Therapy & Fitness CurrentSince Nov 1, 2022 Accepting new patients
Physical Therapy at Acac CurrentSince Aug 1, 2021 Accepting new patients
Physical Therapy at Acac Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

3263 Proffit Rd
Ste 203
Charlottesville, VA 22911
Phone (434) 654-5575

2120 Berkmar Dr
Charlottesville, VA 22901
Phone (434) 872-1850

504 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-7848

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1457798670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BRENDA CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012909",
            "telephone_number": "434-872-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BERKMAR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011424",
            "telephone_number": "434-872-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Brenda Ct",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012909",
            "country_code": "US",
            "telephone_number": "434-872-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "NICHOLAS",
        "middle_name": "STEWART",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.