Individual provider Active NPI

Terri Velinda Virgil

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1508138678
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PT6786 Issued in FL
Practice address
11555 Birch Forest Circle East
Jacksonville, FL 32218
Phone
(904) 333-8610
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PT6786 FL Primary

Addresses

Primary practice location

11555 Birch Forest Circle East
Jacksonville, FL 32218

Mailing address

11555 Birch Forest Cir E
Jacksonville, FL 32218-3382
Phone (904) 333-8610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003328 FL Practitioner - Physical Therapist in Private Practice 5496190936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6786FLMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Therapyworks of Jacksonville Inc CurrentSince Jan 22, 2024 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1819 Hendricks Ave
Ste 3
Jacksonville, FL 32207
Phone (904) 348-5511

2535 University Blvd W
Jacksonville, FL 32217
Phone (904) 348-5511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1508138678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 BIRCH FOREST CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183382",
            "telephone_number": "904-333-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 BIRCH FOREST CIRCLE EAST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-333-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGIL",
        "first_name": "TERRI",
        "middle_name": "VELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PT6786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.

Verify at the official NPI Registry.