Powhatan Physical Therapy Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305002803 Issued in VA

Legal business name

POWHATAN PHYSICAL THERAPY CORPORATION

Practice address

1799 Southcreek One
Suite E
Powhatan, VA 23139-7953

Phone

(804) 794-9023

Fax

(804) 794-9373

NPI assigned

Aug 1, 2006

Organization subpart

No

Name

Mr. Gregg A Tobey, PTNPI 1326054149

Title

President

Phone

(804) 794-9023

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregg A Tobey, PT

  • Physical Therapist
  • Powhatan, VA
  • NPI 1326054149
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer B. Walle, PT, DPT

  • Physical Therapist
  • Midlothian, VA
  • NPI 1083129407
  Medicare reassignment Care Compare group NPD
• Tayler Bogert, PT, DPT

  • Physical Therapist
  • Powhatan, VA
  • NPI 1871374751

  Single Specialty

  NPD
• Brenda R Whiting, PT

  • Physical Therapist
  • Powhatan, VA
  • NPI 1497453773
  NPD
• Shaunalee L Bailey

  • Physical Therapist
  • Powhatan, VA
  • NPI 1477560720
  NPD (past)
• Jeffrey A Chandler, PT

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1720195787
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2023.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1477569200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 SOUTHCREEK ONE",
            "address_2": "SUITE E",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397953",
            "telephone_number": "804-794-9023",
            "fax_number": "804-794-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 SOUTHCREEK ONE",
            "address_2": "SUITE E",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397953",
            "telephone_number": "804-794-9023",
            "fax_number": "804-794-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWHATAN PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-794-9023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powhatan Family Counseling and Education Center
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• Powhatan Gentle Dentistry PLC
• Powhatan Pharmacy Inc
• Powhatan RX LLC
• Powhatan Volunteer Rescue Squad, Inc.
• Premier Wellness Consultants
• Premieremed LLC
• Amanda Nichole Presson O'Quinn, COTA/L

• All providers in Powhatan, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.