NPIMap

Organization Active NPI

Origin Pelvic Health Physical Therapy

  • Physical Therapist
  • Bedford, VA
National Provider Identifier
1770234668
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORIGIN PELVIC HEALTH PHYSICAL THERAPY
Practice address
126 S Bridge St
Bedford, VA 24523-2702
Phone
(434) 238-7945
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Jordan Giles, DPTNPI 1457838260
Title
Owner
Phone
(434) 238-7945

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

126 S Bridge St
Bedford, VA 24523-2702

Mailing address

1751 Meadow Down Dr
Forest, VA 24551-1207

National Provider Directory

National Provider Directory

Locations

126 S Bridge St
Bedford, VA 24523
Phone (434) 238-7945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1770234668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 MEADOW DOWN DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S BRIDGE ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232702",
            "telephone_number": "434-238-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN PELVIC HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-238-7945",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.