Renee Threlfall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206415 Issued in VA

Practice address

12825 Minnieville Rd
Suite 203
Woodbridge, VA 22192-3601

Phone

(703) 971-3701

Fax

(703) 647-3126

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fusion Physiotherapy Associates LLC

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1730530213
  Medicare reassignment Care Compare group NPD
• Proactive Physical Therapy and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Augusta, GA
  • NPI 1902102452

  Physical Therapist

  NPD
• Proactive Rehabilitation & Wellness LLC

  • Occupational Therapist
  • Augusta, GA
  • NPI 1518577733

  Physical Therapist

  NPD
• Healing Hands Physical Therapy Centers, Inc.

  • Physical Therapist
  • Augusta, GA
  • NPI 1871694778
  NPD (past)
• Universal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Newport, NH
  • NPI 1992779391

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1821062209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "301-540-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 MINNIEVILLE RD",
            "address_2": "SUITE 203",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923601",
            "telephone_number": "703-971-3701",
            "fax_number": "703-647-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRELFALL",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2831",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206415",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "010474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003120150A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y004741NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30392274",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "00800698",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly D Thompson, PA-C
• Leona Williams Thompson, N/A
• Nichele Amelia Thompson
• Laila Thor
• Thread, LLC
• Thrivepoint LLLC
• Thriving Minds Behavioral Health Services LLC
• Bethlehem Tilahun, RN
• Adrian Shante Tiller
• Sierra Elisabeth Ann Timme

• Physical Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.