Active NPI
Physiotherapy Associates Inc
Doing business as Physiotherapy Associates
- Physical Therapy Clinic/Center
- Suffolk, VA
National Provider Identifier
1598914020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Doing business as
- Physiotherapy Associates
- Practice address
- 175 N Main St
Suffolk, VA 23434-4507 - Phone
- (757) 686-0207
- Fax
- (757) 686-0206
- NPI assigned
- Sep 9, 2008
- Last updated
- Jun 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jayne Fleck Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
175 N Main St
Suffolk, VA 23434-4507
Mailing address
665 Philadelphia St
Indiana, PA 15701-3941
Phone (724) 465-3496
Other names 1
- Physiotherapy Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050518000089 | VA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3577470442 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Suffolk, VA; Virginia Beach, VA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Virginia Beach, VA
- NPI 1588744031
O20050518000089
-
dba Select Kids
- Physical Therapy Clinic/Center
- Virginia Beach, VA
- NPI 1588749097
O20050518000089
-
dba Physiotherapy Associates
- Physical Therapy Clinic/Center
- Norfolk, VA
- NPI 1750461299
O20050518000089
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Suffolk, VA
- NPI 1861572216
O20050518000089
National Provider Directory
National Provider DirectoryLocations
175 N Main St
Suffolk, VA 23434
Phone (757) 686-0207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1598914020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013941",
"telephone_number": "724-465-3496",
"fax_number": "724-465-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N MAIN ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344507",
"telephone_number": "757-686-0207",
"fax_number": "757-686-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "FLECK",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8705",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physiotherapy Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
- Philip R Thomas MD., LTD
- Alicia Philippou
- Physcial Therapy Works, Inc.
- Physical Therapy Works, Inc.
- Physical Therapy Works, Inc. (Physical Therapy Works)
- Physiotherapy Associates Inc (Select Physical Therapy)
- Carolyn Morris Pierce, LCSW
- Sheila Paige Piland
- Thankam Pillai, MD
- Pinkslayer Community Outreach (PinkSlayer Community Outreach Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.