Individual provider Active NPI

Julia Mooney Wilson

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1861228181
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216438 Issued in VA
Practice address
5660 Indian River Rd Ste 121
Virginia Beach, VA 23464-5240
Phone
(757) 252-5300
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216438 VA Primary

Addresses

Primary practice location

5660 Indian River Rd Ste 121
Virginia Beach, VA 23464-5240

Mailing address

1944 Centerville Tpke Ste 101
Virginia Beach, VA 23464-6839
Phone (757) 271-4585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124001446 VA Practitioner - Physical Therapist in Private Practice 1658800321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Therapy Solutions LLCGroup PAC ID 8325370380, 33 clinicians

Practice addresses (Care Compare)

1944 Centerville Tpke
Suite 101
Virginia Beach, VA 23464-6839
Phone (757) 271-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216438VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Sentara Hospitals PastSince Sep 15, 2024 Accepting new patients

Locations

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

1944 Centerville Tpke
Ste 101
Virginia Beach, VA 23464
Phone (757) 271-4585

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1861228181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CENTERVILLE TPKE STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646839",
            "telephone_number": "757-271-4585",
            "fax_number": "833-627-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 INDIAN RIVER RD STE 121",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645240",
            "telephone_number": "757-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JULIA",
        "middle_name": "MOONEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216438",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.