Individual provider Active NPI

Rebecca Burroughs, PTA., CMT

  • Physical Therapy Assistant
  • Richmond, VA
National Provider Identifier
1801249248
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604526 Issued in VA
Practice address
211 W Broad St
Ste 101
Richmond, VA 23220-4216
Phone
(804) 288-3025
Fax
(804) 288-3029
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604526 VA Primary
Massage Therapist 225700000X 0019013673 VA

Addresses

Primary practice location

211 W Broad St
Ste 101
Richmond, VA 23220-4216

Mailing address

5252 Lyngate CT
Ste 203
Burke, VA 22015-1672
Phone (703) 239-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306604526VAMDPhysical Therapy Assistant
0019013673VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Experts, LLC Past Accepting new patients
Alliance Rehab and Physical Therapy LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1801249248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "address_2": "STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BROAD ST",
            "address_2": "STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204216",
            "telephone_number": "804-288-3025",
            "fax_number": "804-288-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "REBECCA",
        "credential": "PTA., CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604526",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019013673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.