Organization Active NPI

Bayview Physical Therapy & Wellness Center PLLC

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1770738148
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005841 Issued in VA
Legal business name
BAYVIEW PHYSICAL THERAPY & WELLNESS CENTER PLLC
Practice address
7930 Chesapeake Blvd Ste F
Norfolk, VA 23518-3846
Phone
(757) 588-4325
Fax
(757) 588-0991
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Gavin W McCall, DPT
Title
Owner/Physical Therapist
Phone
(757) 588-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305005841 VA Primary

Addresses

Primary practice location

7930 Chesapeake Blvd Ste F
Norfolk, VA 23518-3846

Mailing address

7930 Chesapeake Blvd Ste F
Norfolk, VA 23518-3846
Phone (757) 588-4325

Other identifiers 1

IdentifierTypeStateIssuer
8920460MedicaidVA

National Provider Directory

National Provider Directory

Locations

7930 Chesapeake Blvd
Ste F
Norfolk, VA 23518
Phone (757) 588-4325

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": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1770738148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 CHESAPEAKE BLVD STE F",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183846",
            "telephone_number": "757-588-4325",
            "fax_number": "757-588-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 CHESAPEAKE BLVD STE F",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235183846",
            "telephone_number": "757-588-4325",
            "fax_number": "757-588-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW PHYSICAL THERAPY & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-588-4325",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920460",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.