Amelia Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006161 Issued in VA

Legal business name

AMELIA PHYSICAL THERAPY INC

Practice address

10130 Superior Way
Amelia Court House, VA 23002-4744

Phone

(804) 561-1585

Fax

(804) 561-7430

NPI assigned

Apr 6, 2006

Last updated

Jun 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benson Walker Howard, P.T.NPI 1255330734

Title

President

Phone

(804) 561-1585

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benson W Howard, PT

  • Physical Therapist
  • Amelia Court House, VA
  • NPI 1255330734
  Medicare reassignment Care Compare group NPD Authorized official
• James Smith Kilbreath II, DPT

  • Physical Therapist
  • Amelia Court House, VA
  • NPI 1871840736
  Medicare reassignment Care Compare group NPD
• Shane Duncan

  • Physical Therapist
  • Richmond, VA
  • NPI 1104424886
  Medicare reassignment NPD
• Jessica M Myers, DPT, MPH, CSCS,CMTPT

  • Physical Therapist
  • Powhatan, VA
  • NPI 1326001546
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1609838242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 SUPERIOR WAY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024744",
            "telephone_number": "804-561-1585",
            "fax_number": "804-561-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 SUPERIOR WAY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024744",
            "telephone_number": "804-561-1585",
            "fax_number": "804-561-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BENSON",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-561-1585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO PROVIDER NUM",
            "identifier": "235571",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "280550",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "460947",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7954419",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010187095",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DB7288",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia County Public Schools
• Amelia Family Dentistry Dre PLL
• Amelia Operating Realty, LLC (Wellsprings at Amelia)
• Amelia Pharmacy Inc
• Amelia Pharmacy Inc (Family Pharmacy Amelia Long Term Care)
• Amelia, LLC (Amelia Nursing and Rehabilitation Center)
• Aml Operating LLC (Amelia Rehabilitation and Healthcare Center)
• Jourdan Lynn Anderson, OTD, OTR/L
• Susan Garner Armes, LPC
• Art of Recovery and Life Skills, LLC

• Physical Therapist in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.