Active NPI
Laura Harris Gwynn, MPT
- Physical Therapist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004289
- Practice address
- 2200 Colonial Avenue Suite 2
Norfolk, VA 23517 - Phone
- (757) 622-8777
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- 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 | 2305004289 | VA | Primary |
Addresses
Primary practice location
2200 Colonial Avenue Suite 2
Norfolk, VA 23517
Mailing address
204 White Dogwood Drive
Chesapeake, VA 23322-4167
Phone (757) 819-7827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, MD
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004289 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT MD LLC | Physical Therapist | Current | Accepting new patients |
| Kirven Orthopedic Group, P.C. | Current | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
200 Medical Pkwy
Ste 111
Chesapeake, VA 23320
Phone (757) 547-0855
5701 Cleveland St
Ste 600
Virginia Beach, VA 23462
Phone (757) 963-6507
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 3
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.
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- NPI 1144403262
-
- Physical Therapist
- Timonium, MD
- NPI 1588901847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821170267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 WHITE DOGWOOD DRIVE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224167",
"telephone_number": "757-819-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 COLONIAL AVENUE SUITE 2",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23517",
"telephone_number": "757-622-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWYNN",
"first_name": "LAURA",
"middle_name": "HARRIS",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004289",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; 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.