Active NPI
KW Peds & Associates, LLC
- Physical Therapy Clinic/Center
- Chesapeake, VA
National Provider Identifier
1770001521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KW PEDS & ASSOCIATES, LLC
- Practice address
- 4012 Raintree Rd Ste 100B
Chesapeake, VA 23321-3741 - Phone
- (757) 630-9236
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherita N Quick-Williams
- Title
- Director/ Owner
- Phone
- (757) 630-0090
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4012 Raintree Rd Ste 100B
Chesapeake, VA 23321-3741
Mailing address
1317 King Arthur CT
Chesapeake, VA 23323-2819
Phone (757) 630-9236
National Provider Directory
National Provider DirectoryLocations
4012 Raintree Rd
Ste 100B
Chesapeake, VA 23321
Phone (757) 630-9236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1770001521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 KING ARTHUR CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233232819",
"telephone_number": "757-630-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 RAINTREE RD STE 100B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213741",
"telephone_number": "757-630-9236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KW PEDS & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-31",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "QUICK-WILLIAMS",
"authorized_official_first_name": "SHERITA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DIRECTOR/ OWNER",
"authorized_official_telephone_number": "757-630-0090",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.