Individual provider Active NPI

Giavonna Wilson, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1649150285
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217343 Issued in VA
Practice address
1788 Republic Rd Ste 100
Virginia Beach, VA 23454-4552
Phone
(757) 437-0412
Fax
(757) 437-4582
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305217343 VA Primary

Addresses

Primary practice location

1788 Republic Rd Ste 100
Virginia Beach, VA 23454-4552

Mailing address

1450 Kempsville Rd Ste 102
Virginia Beach, VA 23464-7320
Phone (757) 496-3700

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

LicenseStateTypeSpecialty
2305217343VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Network Inc Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

1788 Republic Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 432-0412

1450 Kempsville Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 455-8300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1649150285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 KEMPSVILLE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647320",
            "telephone_number": "757-496-3700",
            "fax_number": "757-481-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544552",
            "telephone_number": "757-437-0412",
            "fax_number": "757-437-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GIAVONNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217343",
            "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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.