Individual provider Active NPI

Theresa Vandecarr, PT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1982654620
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP052373T Issued in VA
Practice address
2076 S Independence Blvd Ste a
Virginia Beach, VA 23453-4779
Phone
(757) 302-4144
Fax
(757) 271-9108
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052373T VA Primary
Physical Therapist 225100000X PT-008687 OH

Addresses

Primary practice location

2076 S Independence Blvd Ste a
Virginia Beach, VA 23453-4779

Mailing address

5364 Erin Isles CT
Dublin, OH 43017-1005
Phone (614) 562-4458

Other practice location 1

5364 Erin Isles Ct
Dublin, OH 43017-1005
Phone (614) 562-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061010000005 OH Practitioner - Physical Therapist in Private Practice 5395741755 Reassigns benefits to 1 organization
I20241029003221 FL Practitioner - Physical Therapist in Private Practice 5395741755 Reassigns benefits to 1 organization
I20260610003287 VA Practitioner - Physical Therapist in Private Practice 5395741755 Reassigns benefits to 1 organization

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
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

2076 S Independence Blvd
Suite a
Virginia Beach, VA 23453-4773
Phone (757) 302-4144

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-008687OHMDPhysical Therapist
CP052373TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Past Accepting new patients
Ivyrehab Sept, LLC Physical Therapist PastSince Feb 1, 2026 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Return to Play, LLC Physical Therapist PastSince Feb 21, 2008 Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

625 Africa Rd
Ste 160
Westerville, OH 43082
Phone (614) 392-2812

905 Battlefield Blvd N
Ste 105
Chesapeake, VA 23320
Phone (757) 410-3157

2076 S Independence Blvd
Ste A
Virginia Beach, VA 23453
Phone (757) 302-4144

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1982654620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5364 ERIN ISLES CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171005",
            "telephone_number": "614-562-4458",
            "fax_number": "614-586-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 S INDEPENDENCE BLVD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534779",
            "telephone_number": "757-302-4144",
            "fax_number": "757-271-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5364 Erin Isles Ct",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171005",
            "country_code": "US",
            "telephone_number": "614-562-4458",
            "fax_number": "614-586-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDECARR",
        "first_name": "THERESA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP052373T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-008687",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 20, 2026; 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.