Individual provider Active NPI

Carole R Hussey, DPT

  • Physical Therapist
  • Martinsville, VA
National Provider Identifier
1952397531
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305003684 Issued in VA
Practice address
301 Lavinder St
Martinsville, VA 24112-3520
Phone
(276) 632-5281
Fax
(276) 632-6884
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003684 VA Primary

Addresses

Primary practice location

301 Lavinder St
Martinsville, VA 24112-3520

Mailing address

301 Lavinder St
Martinsville, VA 24112-3520
Phone (276) 632-5281

Other identifiers 4

IdentifierTypeStateIssuer
743117794OtherVATRICARE
7654644OtherVAAETNA
743117794OtherVAGREAT WEST
743117794OtherVAMEDRISK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811001141 VA Practitioner - Physical Therapist in Private Practice 9234168980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hussey and Lawson Therapies, IncGroup PAC ID 3971674177, 5 clinicians

Practice addresses (Care Compare)

3 Starling Ave
Martinsville, VA 24112-2921
Phone (276) 632-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305003684VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hussey & Lawson Therapies, Inc Physical Therapist CurrentSince Mar 26, 2008 Accepting new patients
Family YMCA, Inc. Physical Therapist PastSince Mar 26, 2008 Accepting new patients
Therapy Direct Physical Therapist PastSince Jun 19, 2005 Accepting new patients

Locations

3 Starling Ave
Martinsville, VA 24112
Phone (276) 632-5281

301 Lavinder St
Martinsville, VA 24112
Phone (276) 632-5281

3 Dudley St
Martinsville, VA 24112
Phone (276) 632-5281

817 Woodland Dr
Stuart, VA 24171
Phone (276) 694-3151

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1952397531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LAVINDER ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123520",
            "telephone_number": "276-632-5281",
            "fax_number": "276-632-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAVINDER ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123520",
            "telephone_number": "276-632-5281",
            "fax_number": "276-632-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "CAROLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "743117794",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7654644",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "743117794",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDRISK",
            "identifier": "743117794",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.