Active NPI
Elizabeth Jorlett, PT
- Physical Therapist
- Willliamsburg, VA
National Provider Identifier
1689814477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002514
- Practice address
- 150 Point O'Woods Rd.
Willliamsburg, VA 23188-7052 - Phone
- (757) 566-3300
- Fax
- (757) 566-8977
- NPI assigned
- Mar 6, 2009
- Last updated
- Mar 6, 2009
- 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 | 2305002514 | VA | Primary |
Addresses
Primary practice location
150 Point O'Woods Rd.
Willliamsburg, VA 23188-7052
Mailing address
PO Box 280
Norge, VA 23127-0280
Phone (757) 566-3300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194409 | Other | VA | ANTHEM |
| 49-6679 | Other | VA | MEDICARE |
| 45084 | Other | VA | OPTIMA |
| 49-7850-1 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305002514 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Development Resources | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1386716744
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1689814477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "NORGE",
"state": "VA",
"postal_code": "231270280",
"telephone_number": "757-566-3300",
"fax_number": "757-566-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 POINT O'WOODS RD.",
"city": "WILLLIAMSBURG",
"state": "VA",
"postal_code": "231887052",
"telephone_number": "757-566-3300",
"fax_number": "757-566-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORLETT",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "194409",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "49-6679",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "45084",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49-7850-1",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willliamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.