Active NPI
Neil P. Duffy, PT, DPT
- Physical Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305211305
- Practice address
- 2004 Sandbridge Rd Ste 102
Virginia Beach, VA 23456-4084 - Phone
- (757) 301-6316
- Fax
- (757) 301-6419
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211305 | VA | Primary |
Addresses
Primary practice location
2004 Sandbridge Rd Ste 102
Virginia Beach, VA 23456-4084
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05954 | Other | VA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926000273 | VA | Practitioner - Physical Therapist in Private Practice | 6507130861 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tidewater Physical Therapy LLC
Practice addresses (Care Compare)
2004 Sandbridge Rd
Suite 102
Virginia Beach, VA 23456-4084
Phone (757) 301-6316
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305211305 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
771 Pilot House Dr
#A
Newport News, VA 23606
Phone (757) 873-2302
2004 Sandbridge Rd
Ste 102
Virginia Beach, VA 23456
Phone (757) 301-6316
Organizations & group practices 12
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.
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Franklin, VA
- NPI 1265712103
-
- Physical Therapist
- Newport News, VA
- NPI 1467471896
-
- Physical Therapist
- Glen Allen, VA
- NPI 1477588986
-
- Physical Therapist
- Williamsburg, VA
- NPI 1942229901
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Richmond, VA
- NPI 1386165264
-
- Physical Therapist
- Norfolk, VA
- NPI 1538680400
-
- Physical Therapist
- Richmond, VA
- NPI 1588185458
-
- Physical Therapist
- Suffolk, VA
- NPI 1831610708
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1093172181
-
- Physical Therapist
- Palmyra, VA
- NPI 1881133791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1972027563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 SANDBRIDGE RD STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564084",
"telephone_number": "757-301-6316",
"fax_number": "757-301-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "NEIL",
"middle_name": "P.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C05954",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.