NPIMap

Organization Active NPI

Albemarle Physical Therapy

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1649337874
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202054 Issued in VA
Legal business name
ALBEMARLE PHYSICAL THERAPY
Practice address
285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126
Phone
(434) 817-0980
Fax
(434) 817-0985
NPI assigned
Jan 3, 2007
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Melinda G Smith
Title
Office Manager
Phone
(434) 817-0980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202054 VA Primary

Addresses

Primary practice location

285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126

Mailing address

285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126
Phone (434) 817-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070727000607 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446351936 Receives reassigned benefits from 10 practitioners
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

285 Hydraulic Ridge Rd
Ste 4
Charlottesvle, VA 22901
Phone (434) 817-0980

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1649337874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-817-0980"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.