Preventative Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREVENTATIVE PHYSICAL THERAPY PLLC

Practice address

1516 Koger Center Blvd
North Chesterfield, VA 23235-4721

Phone

(802) 220-0106

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Jordan Witt, PT, DPT, OCSNPI 1720604531

Title

Physical Therapist and Founder

Phone

(804) 220-0106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

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.

• Jordan Witt, DPT

  • Physical Therapist
  • North Chesterfield, VA
  • NPI 1720604531
  Medicare reassignment Care Compare group NPD Authorized official
• Allison Bortell Guyer, PT

  • Physical Therapist
  • Mechanicsville, VA
  • NPI 1093325359
  Medicare reassignment Care Compare group NPD
• Kathleen Lautzenheiser, DPT

  • Physical Therapist
  • Henrico, VA
  • NPI 1942724521
  Medicare reassignment Care Compare group NPD
• Shannon Schilstra, DPT

  • Physical Therapist
  • Prince George, VA
  • NPI 1053928978
  Medicare reassignment Care Compare group NPD
• Katherine Witt, PT, DPT

  • Physical Therapist
  • Richmond, VA
  • NPI 1447957212
  Medicare reassignment NPD

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1861174823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MILLSAP LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354721",
            "telephone_number": "802-220-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND FOUNDER",
        "authorized_official_telephone_number": "804-220-0106",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Powers
• Cynthia Pratt, LPC
• Preavic Signature LLC
• Precious Time Child Development Centers, LLC
• Premier Diagnostics of Virginia (Premier Cpap)
• Faith Price
• Pamela Price
• Pride Home Care LLC
• Frieda Shamane Priest, PA
• Prioritize the Mind

• Physical Therapist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.