Active NPI
Vikki Natasha Gaines, PT, DPT
- Physical Therapist
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206769
- Practice address
- 300B Temple Lake Dr Ste 101
Colonial Heights, VA 23834-2973 - Phone
- (804) 524-9036
- Fax
- (804) 524-9039
- NPI assigned
- Dec 10, 2020
- 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 | 2305206769 | VA | Primary |
Addresses
Primary practice location
300B Temple Lake Dr Ste 101
Colonial Heights, VA 23834-2973
Mailing address
7224 Walking Horse Dr
Mechanicsville, VA 23111-1955
Phone (804) 683-3911
Other practice location 1
7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
300B Temple Lake Dr
Ste 1
Colonial Heights, VA 23834
Phone (804) 452-4903
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Physical Therapist
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1619573045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 WALKING HORSE DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231111955",
"telephone_number": "804-683-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300B TEMPLE LAKE DR STE 101",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342973",
"telephone_number": "804-524-9036",
"fax_number": "804-524-9039"
}
],
"practiceLocations": [
{
"address_1": "7600 Autumn Park Way",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231163868",
"country_code": "US",
"telephone_number": "804-730-0009",
"fax_number": "804-730-0047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAINES",
"first_name": "VIKKI",
"middle_name": "NATASHA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.