Active NPI
John McNeill, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1982680898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005250
- Practice address
- 762 Independence Blvd Ste 772
Virginia Beach, VA 23455-6200 - Phone
- (757) 228-5201
- Fax
- (757) 481-6175
- NPI assigned
- Dec 22, 2005
- 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 | 2305005250 | VA | Primary |
Addresses
Primary practice location
762 Independence Blvd Ste 772
Virginia Beach, VA 23455-6200
Mailing address
PO Box 5982
Virginia Beach, VA 23471-0982
Phone (757) 228-5201
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010338344 | Medicaid | VA | |
| 010340241 | Medicaid | VA | |
| 010338298 | Medicaid | VA | |
| 010338255 | Medicaid | VA | |
| 010338361 | Medicaid | VA | |
| 010338310 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Work Recovery | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1215380290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1982680898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5982",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234710982",
"telephone_number": "757-228-5201",
"fax_number": "757-481-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 INDEPENDENCE BLVD STE 772",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556200",
"telephone_number": "757-228-5201",
"fax_number": "757-481-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010338344",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010340241",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010338298",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010338255",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010338361",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010338310",
"state": "VA"
}
],
"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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.