NPIMap

Organization Active NPI

Purcellville Orthopedic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Purcellville, VA
National Provider Identifier
1902221740
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PURCELLVILLE ORTHOPEDIC PHYSICAL THERAPY, LLC
Practice address
850C E Main St
Purcellville, VA 20132-3163
Phone
(540) 751-1970
Fax
(540) 751-1971
NPI assigned
Mar 4, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Mr. Earl Forbes Cox III, PT, MSNPI 1164539128
Title
Owner
Phone
(301) 788-2768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

850C E Main St
Purcellville, VA 20132-3163

Mailing address

850C E Main St
Purcellville, VA 20132-3163
Phone (540) 751-1970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703002100 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698990729 Receives reassigned benefits from 6 practitioners
Practice locations: Purcellville, VA

National Provider Directory

National Provider Directory

Locations

850 E Main St
Ste C
Purcellville, VA 20132
Phone (540) 751-1970

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1902221740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850C E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323163",
            "telephone_number": "540-751-1970",
            "fax_number": "540-751-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850C E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323163",
            "telephone_number": "540-751-1970",
            "fax_number": "540-751-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELLVILLE ORTHOPEDIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "FORBES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-788-2768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.