Miriam Z Axelbaum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214155 Issued in VA

Practice address

285 Hydraulic Ridge Road
Suite 4
Charlottesville, VA 22901-8126

Phone

(434) 817-0980

Fax

(434) 817-0985

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miriam.axelbaum.1@20955.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albemarle Physical Therapy

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1649337874
  Medicare reassignment NPD
• Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1205809506
  Medicare reassignment NPD
• Physical Therapy at Acac

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1871179119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE ROAD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE ROAD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELBAUM",
        "first_name": "MIRIAM",
        "middle_name": "Z",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aum Perio, PLLC (Charlottesville Periodontics & Dental Implants)
• Benjamin Aunins
• Authentic Living
• Autism Sanctuary, Inc.
• Avalon Dental PLLC
• Emily Case Ayers, MD
• Michael Parker Ayers, M.D.
• Samar Zakaria Ayoub
• Andrew Grant Azdell
• Yusuf Azim

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.