Individual provider Active NPI

Prema Pawar

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1679910624
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207909 Issued in VA
Practice address
4550 Shenandoah Ave NW
Roanoke, VA 24017-4749
Phone
(540) 982-2860
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207909 VA Primary

Addresses

Primary practice location

4550 Shenandoah Ave NW
Roanoke, VA 24017-4749

Mailing address

2863 Coors Park CT
Falls Church, VA 22043-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220928000034 DC Practitioner - Physical Therapist in Private Practice 7618353764 Reassigns benefits to 2 organizations
I20221102000595 VA Practitioner - Physical Therapist in Private Practice 7618353764 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Mar 15, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Mar 15, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

Organizations & group practices 6

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1679910624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 COORS PARK CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 SHENANDOAH AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174749",
            "telephone_number": "540-982-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "PREMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.