Organization Active NPI

Fedserve

  • Physical Therapy Clinic/Center
  • Richmond, VA
National Provider Identifier
1881308682
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FEDSERVE
Practice address
8003 Franklin Farms Dr RM 102
Richmond, VA 23229-5107
Phone
(301) 841-5077
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Daniel Odukoya
Title
Managing Director
Phone
(301) 841-5077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

8003 Franklin Farms Dr RM 102
Richmond, VA 23229-5107

Mailing address

8003 Franklin Farms Dr RM 102
Richmond, VA 23229-5107

National Provider Directory

National Provider Directory

Locations

11440 W Broad St
Glen Allen, VA 23060
Phone (301) 841-5077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1881308682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 FRANKLIN FARMS DR RM 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 FRANKLIN FARMS DR RM 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295107",
            "telephone_number": "301-841-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDSERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ODUKOYA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-841-5077"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.