Active NPI
Andrea T Powell, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1831172477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006303
- Practice address
- 1444 Kempsville Rd
Virginia Beach, VA 23464 - Phone
- (757) 474-7490
- Fax
- (757) 474-7931
- NPI assigned
- Nov 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704009537 | VA | |
| Physical Therapist | 225100000X | 2305006303 | VA | Primary |
Addresses
Primary practice location
1444 Kempsville Rd
Virginia Beach, VA 23464
Mailing address
PO Box 5982
Virginia Beach, VA 23471-0982
Phone (757) 474-7490
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010378079 | Medicaid | VA | |
| 010378354 | Medicaid | VA | |
| 010378621 | Medicaid | VA | |
| 010378001 | Medicaid | VA | |
| 010378117 | Medicaid | VA | |
| 010378630 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.99 of 100
- Quality
- 66.22
- Improvement activities
- 40
- Cost
- 55.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704009537 | VA | MD | Mental Health Counselor |
| 2305006303 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Work Recovery | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1215380290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1831172477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5982",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234710982",
"telephone_number": "757-474-7490",
"fax_number": "757-474-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 KEMPSVILLE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "757-474-7490",
"fax_number": "757-474-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ANDREA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704009537",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378079",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378354",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378621",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378117",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010378630",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.