NPIMap

Organization Active NPI

Physiotherapy Corporation

  • Rehabilitation Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1679946834
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0119006782 Issued in VA
Legal business name
PHYSIOTHERAPY CORPORATION
Practice address
1400 Fordham Dr
Virginia Beach, VA 23464-5368
Phone
(757) 361-3954
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Christine Accettella, PT
Title
Clinic Director
Phone
(757) 361-3954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 0119006782 VA Primary

Addresses

Primary practice location

1400 Fordham Dr
Virginia Beach, VA 23464-5368

Mailing address

1400 Fordham Dr
Virginia Beach, VA 23464-5368

National Provider Directory

National Provider Directory
Tax ID family
Physiotherapy ASC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1679946834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FORDHAM DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FORDHAM DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645368",
            "telephone_number": "757-361-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "ACCETTELLA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "757-361-3954",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "VA",
            "license": "0119006782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.