Active NPI
Gregory Brent Wilmoth, PT, DPT
- Physical Therapist
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210732
- Practice address
- 32 Windward Dr
Suite 110
Fishersville, VA 22939-2174 - Phone
- (540) 949-5383
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14866 | NC | |
| Physical Therapist | 225100000X | 2305210732 | VA | Primary |
Addresses
Primary practice location
32 Windward Dr
Suite 110
Fishersville, VA 22939-2174
Mailing address
32 Windward Dr Ste 110
Fishersville, VA 22939-2174
Phone (540) 949-5383
Other practice location 1
1460 Pantops Mountain Pl
Charlottesville, VA 22911-4671
Phone (434) 817-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Duke University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Corporate Park Dr
Suite B
Forest, VA 24551-2279
Phone (434) 525-4851
20311 B Timberlake Rd
Lynchburg, VA 24502-7203
Phone (434) 237-6812
20347 Timberlake Rd
Suite B
Lynchburg, VA 24502-7352
32 Windward Dr
Suite 110
Fishersville, VA 22939-2174
Phone (540) 949-5383
3278 Stuarts Draft Hwy
Suite 4
Waynesboro, VA 22980-7370
Phone (540) 627-5030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14866 | NC | MD | Physical Therapist |
| 2305210732 | VA | MD | Physical Therapist |
| 14866 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barren Ridge Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Barren Ridge Physical Therapy Limited Partnership | Current | Accepting new patients |
Locations
32 Windward Dr
Ste 110
Fishersville, VA 22939
Phone (540) 949-5383
1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851
20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812
3278 Stuarts Draft Hwy
Ste 4
Waynesboro, VA 22980
Phone (540) 627-5030
Organizations & group practices 4
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.
-
- Physical Therapist
- Fishersville, VA
- NPI 1093952905
-
- Physical Therapist
- Lynchburg, VA
- NPI 1144770835
-
- Durable Medical Equipment & Medical Supplies
- Fishersville, VA
- NPI 1306072608
-
- Durable Medical Equipment & Medical Supplies
- Lynchburg, VA
- NPI 1851843718
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1487068029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WINDWARD DR STE 110",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392174",
"telephone_number": "540-949-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WINDWARD DR",
"address_2": "SUITE 110",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392174",
"telephone_number": "540-949-5383"
}
],
"practiceLocations": [
{
"address_1": "1460 Pantops Mountain Pl",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114671",
"country_code": "US",
"telephone_number": "434-817-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILMOTH",
"first_name": "GREGORY",
"middle_name": "BRENT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14866",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
- Myra Deann Williamson
- Anna Williford, OTD, OTR/L
- Emma Willis, SLP-CF
- James Walten Willis, D.D.S.
- Thomas L Wills, M.D.
- Wilson Workforce and Rehabilitation Center
- Wilson Workforce and Rehabilitation Center
- Wilson Workforce and Rehabilitation Center
- Wilson Workforce and Rehabilitation Center
- Amanda Irene Wilson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.