Individual provider Active NPI

Jennifer M. Seaton, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1487062568
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208914 Issued in VA
Practice address
2040 John Rolfe Pkwy
Richmond, VA 23238
Phone
(804) 754-0916
Fax
(804) 754-0919
NPI assigned
Aug 1, 2014
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 2305208914 VA Primary

Addresses

Primary practice location

2040 John Rolfe Pkwy
Richmond, VA 23238

Mailing address

8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787

Other identifiers 2

IdentifierTypeStateIssuer
1487062568OtherVAMEDICAID QMB PROVIDER IDENTIFIER
C05954OtherVAGROUP MEDICARE PTAN

Other names 1

  • Jennifer L. McNeal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140923000959 VA Practitioner - Physical Therapist in Private Practice 6800015983 Reassigns benefits to 2 organizations
I20150831002274 HI Practitioner - Physical Therapist in Private Practice 6800015983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Solutions Limited PartnershipGroup PAC ID 6204154909, 24 clinicians

Practice addresses (Care Compare)

8201 Atlee Rd
Suite D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208914VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2014 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
PT Hawaii, Inc. CurrentSince Jul 22, 2015 Accepting new patients
Physical Therapy Solutions Limited Partnership Physical Therapist CurrentSince Jun 25, 2018 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2014 Accepting new patients

Locations

94-801 Farrington Hwy
Ste W2
Waipahu, HI 96797

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

8201 Atlee Rd
Ste D
Mechanicsvlle, VA 23116
Phone (804) 569-1787

2040 John Rolfe Pkwy
Richmond, VA 23238
Phone (804) 754-0916

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1487062568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD STE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-754-0916",
            "fax_number": "804-754-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID QMB PROVIDER IDENTIFIER",
            "identifier": "1487062568",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCNEAL",
            "middle_name": "L.",
            "credential": "PT,  DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.