Active NPI
Timothy D Lavis, MD
- Spinal Cord Injury Medicine Physician
- Richmond, VA
National Provider Identifier
1619996451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- 0101245268
- Practice address
- 1201 Broad Rock Blvd
Richmond, VA 23249-0001 - Phone
- (804) 675-5455
- Fax
- (804) 675-5223
- NPI assigned
- Jul 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 0101245268 | VA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101245268 | VA |
Addresses
Primary practice location
1201 Broad Rock Blvd
Richmond, VA 23249-0001
Mailing address
1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone (804) 675-5455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14228 | Other | NC | NCBCBS |
| 5903885 | Medicaid | NC | |
| N0054A | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00544 | NC | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1619996451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232490001",
"telephone_number": "804-675-5455",
"fax_number": "804-675-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232490001",
"telephone_number": "804-675-5455",
"fax_number": "804-675-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIS",
"first_name": "TIMOTHY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "VA",
"license": "0101245268",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101245268",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "14228",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903885",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0054A",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.