Active NPI
Physical Therapy at Acac
- Physical Therapist
- Charlottesville, VA
National Provider Identifier
1861064313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSICAL THERAPY AT ACAC
- Practice address
- 590 Peter Jefferson Pkwy Ste 200
Charlottesville, VA 22911-4628 - Phone
- (434) 654-8333
- Fax
- (434) 465-6834
- NPI assigned
- Jul 14, 2021
- Organization subpart
- Yes
- Parent organization
- PHYSICAL THERAPY AT ACAC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberley Starr, PT
- Title
- Executive Director
- Phone
- (434) 817-7848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
590 Peter Jefferson Pkwy Ste 200
Charlottesville, VA 22911-4628
Mailing address
504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848
National Provider Directory
National Provider Directory- Part of
- Physical Therapy at Acac
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1861064313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ALBEMARLE SQ",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229017405",
"telephone_number": "434-817-7848",
"fax_number": "434-465-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 PETER JEFFERSON PKWY STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114628",
"telephone_number": "434-654-8333",
"fax_number": "434-465-6834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY AT ACAC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHYSICAL THERAPY AT ACAC",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "STARR",
"authorized_official_first_name": "KIMBERLEY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "434-817-7848",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.