Organization Active NPI

P4 Physical Therapy

  • Physical Therapy Clinic/Center
  • Danville, VA
National Provider Identifier
1982475885
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
P4 PHYSICAL THERAPY
Practice address
12349 Martinsville Hwy
Danville, VA 24541-0855
Phone
(276) 732-1575
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Tiffany D Bailey, DPT
Title
PT
Phone
(276) 732-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12349 Martinsville Hwy
Danville, VA 24541-0855

Mailing address

12349 Martinsville Hwy
Danville, VA 24541-0855
Phone (276) 732-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305002840 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800317918 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

12349 Martinsville Hwy
Danville, VA 24541
Phone (276) 732-1575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1982475885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 MARTINSVILLE HWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245410855",
            "telephone_number": "276-732-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12349 MARTINSVILLE HWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245410855",
            "telephone_number": "276-732-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "276-732-1575",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.