Active NPI
Richard Poyner
- Physical Therapist
- Mechanicsville, VA
National Provider Identifier
1598875221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9130 Dickey Dr Ste a
Mechanicsville, VA 23116-2502 - Phone
- (804) 723-5940
- Fax
- (804) 723-5949
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9130 Dickey Dr Ste a
Mechanicsville, VA 23116-2502
Mailing address
9130 Dickey Dr Ste a
Mechanicsville, VA 23116-2502
Phone (804) 723-5940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305003555 | Other | VA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9130 Dickey Dr
Mechanicsville, VA 23116-2502
Phone (804) 723-5940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy and Sports Training, LLC | Physical Therapist | Current | Accepting new patients |
Locations
9130 Dickey Dr
#A
Mechanicsville, VA 23116
Phone (804) 723-5940
9130 Dickey Dr
Mechanicsvlle, VA 23116
Phone (804) 723-5940
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Mechanicsville, VA
- NPI 1215263546
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1598875221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9130 DICKEY DR STE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162502",
"telephone_number": "804-723-5940",
"fax_number": "804-723-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9130 DICKEY DR STE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162502",
"telephone_number": "804-723-5940",
"fax_number": "804-723-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POYNER",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2305003555",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.