Active NPI
Vinay Kumar Vodela, PT
- Physical Therapist
- Forest, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207907
- Practice address
- 1063 Cobblestone LN
Forest, VA 24551-1899 - Phone
- (434) 660-7039
- NPI assigned
- Jan 5, 2022
- Last updated
- Jan 5, 2022
- 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 | 2305207907 | VA | Primary |
Addresses
Primary practice location
1063 Cobblestone LN
Forest, VA 24551-1899
Mailing address
1063 Cobblestone LN
Forest, VA 24551-1899
Phone (434) 660-7039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305207907 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1972264513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 COBBLESTONE LN",
"city": "FOREST",
"state": "VA",
"postal_code": "245511899",
"telephone_number": "434-660-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 COBBLESTONE LN",
"city": "FOREST",
"state": "VA",
"postal_code": "245511899",
"telephone_number": "434-660-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VODELA",
"first_name": "VINAY",
"middle_name": "KUMAR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
- Kerri Vipperman, CCC-SLP
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 07948)
- Virginia Neurospine PC
- Virginia Sport & Spine Institute LLC
- Virginia Valley Counseling LLC (Virginia Valley Counseling & Restoration)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3603)
- Walgreen Co. (Walgreens #10105)
- Leeanna Ruth Early Warner, LPC
- Yitbarek Alayou Wedajo
- Dan E. West Jr., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.