NPIMap

Organization Active NPI

Duffield Physical Therapy and Fitness

  • Occupational Therapy Assistant
  • Duffield, VA
National Provider Identifier
1972556199
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
DUFFIELD PHYSICAL THERAPY AND FITNESS
Practice address
134 Cecil D Quillen Dr
Duffield, VA 24244-9726
Phone
(276) 431-3141
Fax
(276) 431-3143
NPI assigned
May 18, 2006
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mr. Dewayne Steven Garrett, LPTANPI 1215031398
Title
Chief Manager
Phone
(276) 356-2701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU Primary
Physical Therapist 225100000X NU
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

134 Cecil D Quillen Dr
Duffield, VA 24244-9726

Mailing address

134 Cecil D Quillen Dr
Duffield, VA 24244-9726
Phone (276) 431-3141

National Provider Directory

National Provider Directory

Locations

373 Cecil D Quillen Dr
Ste 203
Duffield, VA 24244
Phone (276) 431-3141

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1972556199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CECIL D QUILLEN DR",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242449726",
            "telephone_number": "276-431-3141",
            "fax_number": "276-431-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CECIL D QUILLEN DR",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242449726",
            "telephone_number": "276-431-3141",
            "fax_number": "276-431-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFIELD PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "12763562701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duffield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.