Active NPI
James Byron Dick, PT
- Physical Therapist
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003239
- Practice address
- 611 Campus Dr
Suite 100
Abingdon, VA 24210-9700 - Phone
- (276) 628-6043
- Fax
- (276) 628-7543
- NPI assigned
- Jan 27, 2006
- Last updated
- Jan 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003239 | VA | Primary |
Addresses
Primary practice location
611 Campus Dr
Suite 100
Abingdon, VA 24210-9700
Mailing address
611 Campus Dr
Suite 100
Abingdon, VA 24210-9700
Phone (276) 628-6043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013012 | Other | VA | ANTHEM BLUE CROSS |
| 3925750001 | Other | VA | DMERC |
| 5253045 | Other | VA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
137 Cook St
Abingdon, VA 24210-3203
Phone (276) 628-6043
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003239 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abingdon Therapy Services, Inc | Physical Therapist | Current | Accepting new patients |
Locations
137 Cook St
Abingdon, VA 24210
Phone (276) 628-6043
220 Cook St E
Ste 2
Abingdon, VA 24210
Phone (276) 628-6043
312 Cummings St
Ste D
Abingdon, VA 24210
Phone (703) 628-6043
611 Campus Dr
Ste 100
Abingdon, VA 24210
Phone (276) 628-6043
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Abingdon, VA
- NPI 1174736862
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1801867171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 CAMPUS DR",
"address_2": "SUITE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109700",
"telephone_number": "276-628-6043",
"fax_number": "276-628-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CAMPUS DR",
"address_2": "SUITE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109700",
"telephone_number": "276-628-6043",
"fax_number": "276-628-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "JAMES",
"middle_name": "BYRON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "013012",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "3925750001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5253045",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.