Individual provider Active NPI

Gregory Brent Wilmoth, PT, DPT

  • Physical Therapist
  • Fishersville, VA
National Provider Identifier
1487068029
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210732 Issued in VA
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

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170130002416 VA Practitioner - Physical Therapist in Private Practice 6709003643 Reassigns benefits to 2 organizations

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
Barren Ridge Physical Therapy Limited PartnershipGroup PAC ID 3173670544, 4 clinicians

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

LicenseStateTypeSpecialty
P14866NCMDPhysical Therapist
2305210732VAMDPhysical Therapist
14866NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barren Ridge Physical Therapy Limited Partnership Physical Therapist CurrentSince Dec 5, 2016 Accepting new patients
Rehabilitation Associates of Central Virginia Limited Partnership Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Rehabilitation Associates of Central Virginia Limited Partnership Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Barren Ridge Physical Therapy Limited Partnership CurrentSince Dec 5, 2016 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.

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

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.

Verify at the official NPI Registry.