Level Up Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEVEL UP PHYSICAL THERAPY

Practice address

6420 Seminole TRL Ste L4
Barboursville, VA 22923-2836

Phone

(808) 347-1105

NPI assigned

Jun 6, 2020

Organization subpart

No

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

Authorized official

Name

Natasha Pena, PTA, SPTNPI 1144570557

Title

Co-Owner

Phone

(808) 347-1105

Specialties & licenses 2

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.

• Natasha Leigh Pena, DPT, PTA

  • Physical Therapist
  • Barboursville, VA
  • NPI 1144570557
  Medicare reassignment Care Compare group NPD Authorized official
• Martine Barre, DPT

  • Physical Medicine & Rehabilitation Physician
  • Barboursville, VA
  • NPI 1306114715

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Amy K Weinheimer, MPT

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1538229463
  Medicare reassignment Care Compare group NPD
• William Memery, DPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1225486673
  NPD
• Haley Blair Dodd

  • Physical Therapy Assistant
  • Barboursville, VA
  • NPI 1760285621
  NPD (past)

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1871117705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL STE L4",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "808-347-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SEMINOLE TRL STE L4",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232836",
            "telephone_number": "808-347-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Maiden Ln",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229117509",
            "country_code": "US",
            "telephone_number": "808-347-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEVEL UP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "808-347-1105",
        "authorized_official_credential": "PTA, SPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Blair Dodd
• Carley Marie Fisher
• Kaylyn Hopkins
• Jon a. Whalen, PC
• Katharine Kuekes-Baker, RN
• Samuel Clayton Mackay, DPT
• Thomspon Femi Malumi
• Aileen Marie McKernan
• Kira Memery, DPT
• David M. Mercer, ACNP

• Physical Therapy Clinic/Center in Barboursville, VA
• Providers in Barboursville, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.