Individual provider Active NPI

Joseph Harold Gieck, P.T.

  • Sports Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1659470680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2305000266 Issued in VA
Practice address
1230 Cedars CT Ste a
Charlottesville, VA 22903-5800
Phone
(434) 220-0805
Fax
(434) 220-0806
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2305000266 VA Primary

Addresses

Primary practice location

1230 Cedars CT Ste a
Charlottesville, VA 22903-5800

Mailing address

1230 Cedars CT Ste a
Charlottesville, VA 22903-5800
Phone (434) 220-0805

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
2305000266VAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Performance Place Physical Therapy and Sports Medicine, LLC Sports Past Accepting new patients

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659470680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CEDARS CT STE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035800",
            "telephone_number": "434-220-0805",
            "fax_number": "434-220-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CEDARS CT STE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035800",
            "telephone_number": "434-220-0805",
            "fax_number": "434-220-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIECK",
        "first_name": "JOSEPH",
        "middle_name": "HAROLD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305000266",
            "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 Jul 8, 2007; 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.