Active NPI
Jennifer Reasor, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1609235993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205074
- Practice address
- 1628 Old Donation Pkwy
Rehabilitation Department
Virginia Beach, VA 23454-3062 - Phone
- (757) 325-9960
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- 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 | 2305205074 | VA | Primary |
Addresses
Primary practice location
1628 Old Donation Pkwy
Rehabilitation Department
Virginia Beach, VA 23454-3062
Mailing address
4871 Coventry LN
Norfolk, VA 23518-1636
Phone (540) 761-3496
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205074 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1609235993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4871 COVENTRY LN",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181636",
"telephone_number": "540-761-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 OLD DONATION PKWY",
"address_2": "REHABILITATION DEPARTMENT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543062",
"telephone_number": "757-325-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REASOR",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.