NPIMap

Organization Active NPI

Neuro Outlook, LLC

  • Physical Therapy Clinic/Center
  • Roanoke, VA
National Provider Identifier
1700654001
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEURO OUTLOOK, LLC
Practice address
649 Elm Ave SW Apt B
Roanoke, VA 24016-3821
Phone
(440) 787-5992
NPI assigned
Dec 15, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Courtney Perkins, PT, DPTNPI 1902674203
Title
Physical Therapist
Phone
(440) 787-5992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

649 Elm Ave SW Apt B
Roanoke, VA 24016-3821

Mailing address

649 Elm Ave SW Apt B
Roanoke, VA 24016-3821
Phone (440) 787-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221001555 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820432586 Receives reassigned benefits from 5 practitioners
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1700654001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 ELM AVE SW APT B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163821",
            "telephone_number": "440-787-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 ELM AVE SW APT B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163821",
            "telephone_number": "440-787-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO OUTLOOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "440-787-5992",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Aug 29, 2024; 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.