Active NPI
Cheryl Ann Remick, MPT
- Physical Therapist
- Suffolk, VA
National Provider Identifier
1659389195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212124
- Practice address
- 1033 Champions Way Ste 500
Suffolk, VA 23435-3775 - Phone
- (757) 372-9953
- Fax
- (757) 372-9954
- NPI assigned
- Aug 3, 2006
- Last updated
- Dec 23, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305212124 | VA | Primary |
| Physical Therapist | 225100000X | 22086 | MD | |
| Physical Therapist | 225100000X | PT1003 | WY | |
| Physical Therapist | 225100000X | PT60416675 | WA |
Addresses
Primary practice location
1033 Champions Way Ste 500
Suffolk, VA 23435-3775
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119289200 | Medicaid | WY | |
| 2038755 | Medicaid | WA | |
| 0329641 | Other | WA | WA L&I |
| 0329640 | Other | WA | WA L&I |
| 311755 | Other | WY | BLUE CROSS BLUE SHIELD |
| P01478265 | Other | WA | RR MEDICARE PTAN |
Other names 1
- Cheryl Ann Champagne
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Proactive Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Proactive Rehabilitation
- Physical Therapist
- Pinedale, WY
- NPI 1184814345
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1659389195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-373-2919",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 CHAMPIONS WAY STE 500",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353775",
"telephone_number": "757-372-9953",
"fax_number": "757-372-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMICK",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212124",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22086",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT1003",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60416675",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119289200",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038755",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0329641",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0329640",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "311755",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01478265",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "CHAMPAGNE",
"middle_name": "ANN",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.