NPIMap

Organization Active NPI

Center for Physical Therapy & Sports Medicine, PC

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1851484448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER FOR PHYSICAL THERAPY & SPORTS MEDICINE, PC
Practice address
3920 Springfield Rd.
Glen Allen, VA 23060
Phone
(804) 747-7472
Fax
(804) 747-7441
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tourage Rafeei, PHD, PT, OCSNPI 1134214604
Title
Ceo
Phone
(804) 747-7472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3920 Springfield Rd.
Glen Allen, VA 23060

Mailing address

3920 Springfield Rd.
Glen Allen, VA 23060
Phone (804) 747-7472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000993 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719876150 Receives reassigned benefits from 11 practitioners
Practice locations: Glen Allen, VA; Midlothian, VA

National Provider Directory

National Provider Directory

Locations

3920 Springfield Rd
Glen Allen, VA 23060
Phone (804) 747-7472

1300 Alverser Plz
Midlothian, VA 23113
Phone (804) 348-9968

401 E Canal St
Richmond, VA 23219
Phone (804) 747-4417

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851484448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 SPRINGFIELD RD.",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-747-7472",
            "fax_number": "804-747-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 SPRINGFIELD RD.",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-747-7472",
            "fax_number": "804-747-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL THERAPY & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAFEEI",
        "authorized_official_first_name": "TOURAGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-747-7472",
        "authorized_official_credential": "PHD, PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.