Organization Active NPI

Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
National Provider Identifier
1881366730
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EMPOWERME REHABILITATION, LLC
Practice address
5501 Discovery Park Blvd
Williamsburg, VA 23188-2952
Phone
(844) 502-7996
NPI assigned
Sep 29, 2021
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
John David Church
Title
Vice President of Finance
Phone
(618) 972-5228

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

5501 Discovery Park Blvd
Williamsburg, VA 23188-2952

Mailing address

PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211019001479 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769723162 Receives reassigned benefits from 50 practitioners
Practice locations: Williamsburg, VA; South Boston, VA; Danville, VA; North Chesterfield, VA; Kilmarnock, VA; Hillsville, VA; Hampton, VA; Fairlawn, VA…
O20230922000063 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769723162 Receives reassigned benefits from 52 practitioners
Practice locations: Reston, VA

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Empowerme Rehabilitation LL35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2635 N Dysart Rd
Avondale, AZ 85392
Phone (623) 237-3440

10455 E Pinnacle Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 669-1444

2772 W Avante Loop
Coeur D Alene, ID 83815
Phone (208) 215-3849

13600 S Tryon St
Charlotte, NC 28278
Phone (704) 587-9454

2771 Compass Pointe South Wynd NE
Leland, NC 28451
Phone (910) 701-5177

1300 Leonard St
Clearfield, PA 16830
Phone (814) 238-3485

1870 Rohrerstown Rd
Lancaster, PA 17601
Phone (717) 373-9234

3400 Whiskey Rd
Aiken, SC 29803
Phone (803) 716-8907

123 Gibson Rd
Lexington, SC 29072
Phone (803) 399-7035

7015 Moores Ln
Brentwood, TN 37027
Phone (615) 412-8804

1176 Warfield Blvd
Clarksville, TN 37043
Phone (931) 552-7455

108 Miss B Blvd
Gallatin, TN 37066
Phone (615) 380-4695

6961 Highway 70 S
Nashville, TN 37221
Phone (615) 673-6922

2500 Woodside Dr
Arlington, TX 76016
Phone (682) 273-4598

3735 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 422-0505

2315 Richmond Ave
#501
Houston, TX 77098
Phone (281) 721-0511

1253 W San Gabriel Pkwy
Leander, TX 78641
Phone (512) 524-2464

4828 Lj Pkwy
Sugar Land, TX 77479
Phone (281) 456-3414

100 Kyle Dr
Hillsville, VA 24343
Phone (276) 266-9091

304 Bowman Mill Rd
Strasburg, VA 22657
Phone (540) 216-0824

1222 Ox Rd
Woodstock, VA 22664
Phone (540) 325-1860

935 Ox Rd
Woodstock, VA 22664
Phone (540) 459-9407

N168W22022 Main St
Jackson, WI 53037
Phone (262) 993-0755

285 Sand Dr
West Bend, WI 53095

Practitioners & affiliated clinicians

Practitioners 651

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 651

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1881366730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736005",
            "telephone_number": "844-502-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 DISCOVERY PARK BLVD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882952",
            "telephone_number": "844-502-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERME REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JOHN DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "618-972-5228"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.