Active NPI
Michael F Jefferies, PT
- Physical Therapist
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23052202385
- Practice address
- 2007 Meade Pkwy
Suffolk, VA 23434-4259 - Phone
- (757) 539-6300
- Fax
- (757) 539-0704
- NPI assigned
- May 22, 2006
- Sex
- Male
- 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 | 23052202385 | VA | Primary |
Addresses
Primary practice location
2007 Meade Pkwy
Suffolk, VA 23434-4259
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2007 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 539-6300
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23052202385 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
2007 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-6300
Organizations & group practices 2
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.
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1740234798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-539-6300",
"fax_number": "757-539-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERIES",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "23052202385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.