Active NPI
Prema Pawar
- Physical Therapist
- Roanoke, VA
National Provider Identifier
1679910624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1871241414
-
- Physical Therapist
- Washington, DC
- NPI 1508133661
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Physical Therapist
- Bethesda, MD
- NPI 1245113737
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.