NPIMap

Organization Active NPI

Road to Wellness, LLC

  • Physical Therapy Clinic/Center
  • Henrico, VA
National Provider Identifier
1912645201
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROAD TO WELLNESS, LLC
Practice address
3167 Lauderdale Dr
Henrico, VA 23233-7801
Phone
(804) 991-4600
Fax
(804) 718-0062
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Jeffrey Moten
Title
Principal
Phone
(804) 301-6311

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251H1200X
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3167 Lauderdale Dr
Henrico, VA 23233-7801

Mailing address

3167 Lauderdale Dr
Henrico, VA 23233-7801
Phone (804) 991-4600

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804001206 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658753835 Receives reassigned benefits from 3 practitioners
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Locations

3167 Lauderdale Dr
Richmond, VA 23233
Phone (804) 991-4600

Practitioners & affiliated clinicians

Practitioners 4

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": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1912645201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 LAUDERDALE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337801",
            "telephone_number": "804-991-4600",
            "fax_number": "804-718-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 LAUDERDALE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337801",
            "telephone_number": "804-991-4600",
            "fax_number": "804-718-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "MOTEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "804-301-6311"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "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": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.