Individual provider Active NPI

Daniel Houtrouw, DPT

  • Physical Therapist
  • Belle Haven, VA
National Provider Identifier
1881173326
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212192 Issued in VA
Practice address
15405 Merry Cat Lane
Belle Haven, VA 23306
Phone
(757) 442-5222
Fax
(757) 442-6333
NPI assigned
Aug 7, 2018
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 2305212192 VA Primary

Addresses

Primary practice location

15405 Merry Cat Lane
Belle Haven, VA 23306

Mailing address

PO Box 149
Belle Haven, VA 23306-0149
Phone (757) 442-5222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822000682 VA Practitioner - Physical Therapist in Private Practice 8527317742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside RehabilitationGroup PAC ID 1355350711, 6 clinicians

Practice addresses (Care Compare)

15405 Merry Cat LN
Belle Haven, VA 23306-1203
Phone 7574425222103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212192VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Rehabilitation CurrentSince Aug 1, 2018 Accepting new patients

Locations

21299 Lankford Hwy
Cape Charles, VA 23310

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1881173326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "233060149",
            "telephone_number": "757-442-5222",
            "fax_number": "757-442-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 MERRY CAT LANE",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-5222",
            "fax_number": "757-442-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTROUW",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Haven, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.