Active NPI
Duval Integrative Physical Therapy
- Physical Therapist
- Mechanicsville, VA
National Provider Identifier
1679848824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004572
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.