Organization Active NPI

Duval Integrative Physical Therapy

  • Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1679848824
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004572 Issued in VA
Legal business name
DUVAL INTEGRATIVE PHYSICAL THERAPY
Practice address
9245 Shady Grove Rd
Suite 201
Mechanicsville, VA 23116-2890
Phone
(804) 789-1180
Fax
(804) 780-1181
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Stephen C Duval, MPT
Title
Owner
Phone
(804) 789-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305004572 VA Primary

Addresses

Primary practice location

9245 Shady Grove Rd
Suite 201
Mechanicsville, VA 23116-2890

Mailing address

9245 Shady Grove Rd
Suite 201
Mechanicsville, VA 23116-2890
Phone (804) 789-1180

National Provider Directory

National Provider Directory

Locations

9245 Shady Grove Rd
#201
Mechanicsville, VA 23116
Phone (804) 789-1180

9235 Shady Grove Rd
#201
Mechanicsville, VA 23116
Phone (804) 789-1180

9245 Shady Grove Rd
Ste 201
Mechanicsville, VA 23116
Phone (804) 789-1180

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1679848824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162890",
            "telephone_number": "804-789-1180",
            "fax_number": "804-780-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162890",
            "telephone_number": "804-789-1180",
            "fax_number": "804-780-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL INTEGRATIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-789-1180",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.