Nathan Willaford, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211916 Issued in VA

Practice address

1900 Monticello Ave
Norfolk, VA 23517-2339

Phone

(757) 609-0048

NPI assigned

Jun 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Direct Performance Physical Therapy, LLCGroup PAC ID 1951627934, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Direct Performance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1871998278
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1457843674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MONTICELLO AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172339",
            "telephone_number": "757-609-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MONTICELLO AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172339",
            "telephone_number": "757-609-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2247 W Great Neck Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234511556",
            "country_code": "US",
            "telephone_number": "757-742-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 S Rosemont Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524353",
            "country_code": "US",
            "telephone_number": "757-742-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLAFORD",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde W Wilcox Jr., MD
• Katherine Claire Wilcox
• Kathleen Elizabeth Wiley, MD
• Phillip Curtis Wilkerson, ATC
• Charles A Wilkes, MD
• Lisa Willard, LPC
• Richard Norman Willard, MD
• Sarah Willard, FNP
• Elizabeth Jordan Willette, NP
• William E Brown DDS LTD

• Physical Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.