Organization Active NPI

KW Peds & Associates, LLC

  • Physical Therapy Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1770001521
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jul 15, 2021

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.