Active NPI
Jordan McGrath
- Developmental Therapist
- Virginia Beach, VA
National Provider Identifier
1487062030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2396 Wessington Dr
Virginia Beach, VA 23454-6308 - Phone
- (703) 927-8843
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
2396 Wessington Dr
Virginia Beach, VA 23454-6308
Mailing address
2396 Wessington Dr
Virginia Beach, VA 23454-6308
Phone (703) 927-8843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YTR069A80286 | Other | VA | ANTHEM HEALTHKEEPERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1487062030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2396 WESSINGTON DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234546308",
"telephone_number": "703-927-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2396 WESSINGTON DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234546308",
"telephone_number": "703-927-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "YTR069A80286",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.