Compass Physical Therapy & Chiropractic, PLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

COMPASS PHYSICAL THERAPY & CHIROPRACTIC, PLC

Practice address

416 Market St
Suffolk, VA 23434-5236

Phone

(757) 539-2244

NPI assigned

Nov 1, 2019

Last updated

Feb 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D Russell Mosher, DPT

Title

Owner

Phone

(757) 539-2244

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1477197523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MARKET ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345236",
            "telephone_number": "757-539-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MARKET ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345236",
            "telephone_number": "757-539-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PHYSICAL THERAPY & CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-539-2244",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.