Active NPI
Jennifer W Robinson, PT
- Physical Therapist
- Stafford, VA
National Provider Identifier
1508009044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207668
- Practice address
- 450 Garrisonville Rd, 109
Stafford, VA 22554 - Phone
- (703) 522-2727
- Fax
- (540) 288-3327
- NPI assigned
- Apr 14, 2009
- Sex
- Female
- 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 | 5501014126 | MI | |
| Physical Therapist | 225100000X | 2305207668 | VA | Primary |
Addresses
Primary practice location
450 Garrisonville Rd, 109
Stafford, VA 22554
Mailing address
450 Garrisonville Rd, 109
Stafford, VA 22554
Phone (703) 522-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014126 | MI | MD | Physical Therapist |
| 2305207668 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Alliance Physical Therapy Group LLC | Physical Therapist | Past | Accepting new patients |
| Mary Washington Hospital Inc. | Past | Accepting new patients |
Locations
6330 Five Mile Centre Park
Ste 406
Fredericksburg, VA 22407
Phone (540) 785-9770
7951 Kings Hwy
King George, VA 22485
Phone (540) 625-2300
Organizations & group practices 3
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 Therapy Clinic/Center
- Fredericksburg, VA
- NPI 1891817938
Physical Therapist
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Physical Therapist
- Holland, MI
- NPI 1649216144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1508009044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GARRISONVILLE RD, 109",
"city": "STAFFORD",
"state": "VA",
"postal_code": "22554",
"telephone_number": "703-522-2727",
"fax_number": "540-288-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GARRISONVILLE RD, 109",
"city": "STAFFORD",
"state": "VA",
"postal_code": "22554",
"telephone_number": "703-522-2727",
"fax_number": "540-288-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JENNIFER",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014126",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.