NPIMap

Organization Active NPI

O&W Enterprises

  • Physical Therapist
  • Stanleytown, VA
National Provider Identifier
1487895348
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
O&W ENTERPRISES
Practice address
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone
(276) 622-3636
Fax
(276) 622-3636
NPI assigned
Mar 23, 2009
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Mr. Mark Okafor, OTNPI 1003898586
Title
Owner
Phone
(434) 770-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014

Mailing address

PO Box 1416
Stuart, VA 24171-1416
Phone (276) 694-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090622000183 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608927298 Receives reassigned benefits from 1 practitioner
Practice locations: Stanleytown, VA; Stuart, VA
O20140815001198 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6608927298 Practice locations: Martinsville, VA; Stanleytown, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487895348. Details of each certification follow.

  • CCN 496735 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 496735

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
O & W ENTERPRISES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 1, 2014
Last certification
Oct 28, 2021
Ownership / control type
Proprietary
Facility address
935 Fairystone Park Highway
Stanleytown, VA 24168

National Provider Directory

National Provider Directory
Tax ID family
BPT Kidz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

990 Main St
Ste 101
Danville, VA 24541
Phone (434) 791-4691

1101 Brookdale St
Ste B
Martinsville, VA 24112
Phone 2766940124101

1101 Brookdale St
Ste G
Martinsville, VA 24112
Phone (276) 634-7388

935 Fairystone Park Hwy
Stanleytown, VA 24168
Phone (276) 622-3636

Practitioners & affiliated clinicians

Practitioners 241

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 241

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1487895348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1416",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711416",
            "telephone_number": "276-694-0124",
            "fax_number": "276-694-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 FAIRYSTONE PARK HWY",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241683014",
            "telephone_number": "276-622-3636",
            "fax_number": "276-622-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&W ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-770-1445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanleytown, VA

Sources for this page

Verify at the official NPI Registry.