Organization Active NPI

Power & Grace Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Forest, VA
National Provider Identifier
1487340360
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
POWER & GRACE PHYSICAL THERAPY LLC
Practice address
1076 Corporate Park Dr Ste C
Forest, VA 24551-2268
Phone
(434) 944-0801
NPI assigned
Apr 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Dr. Courtney Anne Bumgarner, PT DPTNPI 1558634972
Title
Physical Therapist
Phone
(434) 944-0801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1076 Corporate Park Dr Ste C
Forest, VA 24551-2268

Mailing address

203 McMaster Rd
Concord, VA 24538-3161
Phone (434) 944-0801

National Provider Directory

National Provider Directory

Locations

1076 Corporate Park Dr
Ste C
Forest, VA 24551
Phone (434) 444-5709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1487340360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MCMASTER RD",
            "city": "CONCORD",
            "state": "VA",
            "postal_code": "245383161",
            "telephone_number": "434-944-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 CORPORATE PARK DR STE C",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512268",
            "telephone_number": "434-944-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER & GRACE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "434-944-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.