Active NPI
Bruce Edwards Pearce Jr., D.P.T.
- Physical Therapist
- Henrico, VA
National Provider Identifier
1649655986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209538
- Practice address
- 11809 Shady Wood CT
Henrico, VA 23233-2500 - Phone
- (434) 579-1434
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 2305209538 | VA | Primary |
Addresses
Primary practice location
11809 Shady Wood CT
Henrico, VA 23233-2500
Mailing address
11809 Shady Wood CT
Henrico, VA 23233-2500
Phone (434) 579-1434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Cardiac Connections Home Health Care Nursing Services Corp. | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 2
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.
-
- Home Health Agency
- Chesterfield, VA
- NPI 1013211358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1649655986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 SHADY WOOD CT",
"city": "HENRICO",
"state": "VA",
"postal_code": "232332500",
"telephone_number": "434-579-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11809 SHADY WOOD CT",
"city": "HENRICO",
"state": "VA",
"postal_code": "232332500",
"telephone_number": "434-579-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "BRUCE",
"middle_name": "EDWARDS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.