Active NPI
Fedserve
- Physical Therapy Clinic/Center
- Richmond, VA
National Provider Identifier
1881308682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Bowie, MD
- NPI 1124335971
-
- Chiropractor
- Glen Allen, VA
- NPI 1770176059
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.