Organization Active NPI

Joint Academy Physical Therapy of VA, P.C.

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1508539974
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOINT ACADEMY PHYSICAL THERAPY OF VA, P.C.
Practice address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Phone
(847) 732-6921
NPI assigned
Jul 30, 2021
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Landon Cook
Title
President
Phone
(707) 536-5434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953

Mailing address

PO Box 3404
Merrifield, VA 22116-3404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1508539974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3404",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221163404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014953",
            "telephone_number": "847-732-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT ACADEMY PHYSICAL THERAPY OF VA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-536-5434"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.