Individual provider Active NPI

Jane Kristine Foreyt, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1487066346
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210183 Issued in VA
Practice address
5801 Patterson Ave
Richmond, VA 23226-2536
Phone
(804) 288-1380
Fax
(804) 288-1383
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60482703 WA
Physical Therapist 225100000X 09021R LA
Physical Therapist 225100000X 2305210183 VA Primary

Addresses

Primary practice location

5801 Patterson Ave
Richmond, VA 23226-2536

Mailing address

PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302

Other identifiers 1

IdentifierTypeStateIssuer
C05954OtherVAGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001241 CA Practitioner - Physical Therapist in Private Practice 6709166937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

7220 Trade St
Suite 190
San Diego, CA 92121-2388
Phone (858) 450-7118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09021RLAMDPhysical Therapist
2305210183VAMDPhysical Therapist
60482703WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince May 1, 2025 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince May 1, 2025 Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

4700 Spring St
Ste 180
La Mesa, CA 91942
Phone (619) 383-0704

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

7220 Trade St
Ste 190
San Diego, CA 92121
Phone (858) 450-7118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1487066346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262536",
            "telephone_number": "804-288-1380",
            "fax_number": "804-288-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREYT",
        "first_name": "JANE",
        "middle_name": "KRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60482703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09021R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 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.