Organization Active NPI

Rva Physical Therapy& Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Henrico, VA
National Provider Identifier
1851781769
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2305204964 Issued in VA
Legal business name
RVA PHYSICAL THERAPY& SPORTS REHAB, LLC
Practice address
2620 Gaskins Rd Ste a
Henrico, VA 23238-1402
Phone
(804) 396-6753
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Ramakrishnan Kavaserry, DPTNPI 1972817336
Title
Owner
Phone
(804) 874-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2305204964 VA Primary

Addresses

Primary practice location

2620 Gaskins Rd Ste a
Henrico, VA 23238-1402

Mailing address

2620 Gaskins Rd Ste a
Henrico, VA 23238-1402
Phone (804) 396-6753

Other practice location 1

101 Heaths Way Rd Ste B
Midlothian, VA 23114-9508
Phone (804) 396-6753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150923000057 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941517049 Receives reassigned benefits from 8 practitioners
Practice locations: Henrico, VA; Midlothian, VA

National Provider Directory

National Provider Directory

Locations

5388 Twin Hickory Rd
Ste 100
Glen Allen, VA 23059

2620 Gaskins Rd
#A
Henrico, VA 23238
Phone (804) 396-6753

101 Heaths Way Rd
Ste B
Midlothian, VA 23114
Phone (804) 396-6753

107 Heaths Way Rd
Midlothian, VA 23114
Phone (804) 396-6753

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1851781769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 GASKINS RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-396-6753",
            "fax_number": "888-815-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 GASKINS RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-396-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Heaths Way Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231149508",
            "country_code": "US",
            "telephone_number": "804-396-6753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RVA PHYSICAL THERAPY& SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "KAVASERRY",
        "authorized_official_first_name": "RAMAKRISHNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-874-2476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "VA",
            "license": "2305204964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.