Organization Active NPI

Physical Medicine & Rehabilitation of Richmond Inc

  • Physical Medicine & Rehabilitation Physician
  • Richmond, VA
National Provider Identifier
1558320267
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICAL MEDICINE & REHABILITATION OF RICHMOND INC
Practice address
1401 Johnston Willis Drive
5 E in PT Rehab
Richmond, VA 23235-4722
Phone
(804) 530-0160
Fax
(804) 378-2248
NPI assigned
Mar 21, 2006
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Manmohan K Khokhar, MD
Title
President
Phone
(804) 530-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1401 Johnston Willis Drive
5 E in PT Rehab
Richmond, VA 23235-4722

Mailing address

1401 Johnston Willis Drive
5 E in PT Rehab
Richmond, VA 23235-4722
Phone (804) 530-0160

Other identifiers 1

IdentifierTypeStateIssuer
C08460OtherMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1401 Johnston Willis Dr
#5E
North Chesterfield, VA 23235
Phone (804) 467-2258

1427 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 330-2324

Practitioners & affiliated clinicians

Practitioners 3

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1558320267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DRIVE",
            "address_2": "5 E IN PT REHAB",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354722",
            "telephone_number": "804-530-0160",
            "fax_number": "804-378-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DRIVE",
            "address_2": "5 E IN PT REHAB",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354722",
            "telephone_number": "804-530-0160",
            "fax_number": "804-378-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION OF RICHMOND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "KHOKHAR",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-530-0160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C08460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.