Individual provider Active NPI

William Gingerich

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1568133155
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214361 Issued in VA
Practice address
925 Half St SE
Washington, DC 20003-3658
Phone
(771) 772-3907
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP033595T DC
Physical Therapist 225100000X 2305214361 VA Primary

Addresses

Primary practice location

925 Half St SE
Washington, DC 20003-3658

Mailing address

7419 Granby St
Norfolk, VA 23505-3406

Other practice location 1

928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Phone (757) 395-1975

Other practice location 2

7419 Granby St
Norfolk, VA 23505-3406
Phone (757) 388-9910

Other practice location 3

8501 Arlington Blvd Ste 200
Fairfax, VA 22031-4625
Phone (571) 472-4455

Other identifiers 1

IdentifierTypeStateIssuer
240025701MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Epic Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002137 VA Practitioner - Physical Therapist in Private Practice 4486045390 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP033595TDCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients

Locations

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

928 Diamond Springs Rd
Ste 103
Virginia Beach, VA 23455
Phone (757) 395-1975

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1568133155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HALF ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033658",
            "telephone_number": "771-772-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Diamond Springs Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556601",
            "country_code": "US",
            "telephone_number": "757-395-1975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7419 Granby St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235053406",
            "country_code": "US",
            "telephone_number": "757-388-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Arlington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314625",
            "country_code": "US",
            "telephone_number": "571-472-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP033595T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240025701",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7419 Granby St",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235053406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.