Individual provider Active NPI

Jenniver A Piver, PT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1588828404
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205504 Issued in VA
Practice address
100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone
(757) 547-5145
Fax
(757) 547-5207
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205504 VA Primary

Addresses

Primary practice location

100 Wimbledon SQ
Chesapeake, VA 23320-4931

Mailing address

100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone (757) 547-5145

Other identifiers 1

IdentifierTypeStateIssuer
2305205504OtherVAVIRGINIA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305205504VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1588828404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-547-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-547-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVER",
        "first_name": "JENNIVER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "2305205504",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.