Individual provider Active NPI

Elizabeth Nicole Somers

  • Physical Therapist
  • Kilmarnock, VA
National Provider Identifier
1972027969
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211367 Issued in VA
Practice address
500 Irvington Rd
Kilmarnock, VA 22482-0128
Phone
(804) 435-3435
Fax
(804) 435-3682
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 2305211367 VA Primary

Addresses

Primary practice location

500 Irvington Rd
Kilmarnock, VA 22482-0128

Mailing address

PO Box 128
Kilmarnock, VA 22482-0128
Phone (804) 435-3435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120000925 VA Practitioner - Physical Therapist in Private Practice 6507123908 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
Carousel Physical Therapy, Inc.Group PAC ID 9931098928, 8 clinicians

Practice addresses (Care Compare)

500 Irvington Rd
Kilmarnock, VA 22482-9590
Phone (804) 435-3435

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as individual
Quality
93.87
Improvement activities
40
Cost
88.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carousel Physical Therapy, Inc. Physical Therapist CurrentSince Sep 21, 2017 Accepting new patients

Locations

500 Irvington Rd
Kilmarnock, VA 22482
Phone (804) 435-3435

Organizations & group practices 1

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1972027969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820128",
            "telephone_number": "804-435-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 IRVINGTON RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820128",
            "telephone_number": "804-435-3435",
            "fax_number": "804-435-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.