Individual provider Active NPI

Angela Wessells

  • Rehabilitation Practitioner
  • South Chesterfield, VA
National Provider Identifier
1669120093
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
2602 Whitehouse Rd Ste D
South Chesterfield, VA 23834-5398
Phone
(804) 571-1952
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

2602 Whitehouse Rd Ste D
South Chesterfield, VA 23834-5398

Mailing address

12206 Declaration Ave
Chester, VA 23836-3057
Phone (804) 355-7708

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jacob.waters@genesisHCC.com
Direct Messaging Address angela@reneumedicalfitness.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neu, LLC Rehabilitation Practitioner CurrentSince Jan 14, 2024 Accepting new patients

Locations

2602 Whitehouse Rd
Ste D
South Chesterfield, VA 23834
Phone (804) 468-9574

Interoperability endpoints

  • Direct secure messaging: jacob.waters@genesishcc.com

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1669120093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12206 DECLARATION AVE",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363057",
            "telephone_number": "804-355-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WHITEHOUSE RD STE D",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345398",
            "telephone_number": "804-571-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSELLS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.waters@genesisHCC.com",
            "affiliation": "N",
            "address_1": "235 Dunlop Farms Blvd",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238341792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela@reneumedicalfitness.com",
            "affiliation": "N",
            "address_1": "2602 Whitehouse Rd Ste D",
            "city": "South Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238345398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.