Virginia Outpatient at Home LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209634 Issued in VA

Legal business name

VIRGINIA OUTPATIENT AT HOME LLC

Practice address

1046 Rivermont Ter
Lynchburg, VA 24503-2546

Phone

(540) 871-3426

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan A Coffey, DPT

Title

Owner

Phone

(540) 871-3426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1922501485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 RIVERMONT TER",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032546",
            "telephone_number": "540-871-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 RIVERMONT TER",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032546",
            "telephone_number": "540-871-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA OUTPATIENT AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-871-3426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy LLC
• Virginia Eye Clinic, PLLC
• Virginia Neuropsychology Associates, Inc.
• Virginia Prosthetics, Inc.
• Virginia Treatment Center of Lynchburg PC
• Virginia Treatment Center, LLC
• Virginia Vein and Wellness Center, LLC
• Christopher M Viscomi, M.D.

• Physical Therapist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.