CAROUSEL PHYSICAL THERAPY, INC. (NPI# 1568552925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568552925 |
| Entity Type | Organization |
| Organization Name | CAROUSEL PHYSICAL THERAPY, INC. |
| Other Organization Name | CAROUSEL PHYSICAL THERAPY |
| Practice Address |
500 Irvington Road Kilmarnock VA 22482 |
| Mailing Address |
500 Irvington Road P.o. Box 128 Kilmarnock VA 22482 |
| Practice Telephone | 8044353435 |
| Mailing Telephone | 8044353435 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MRS. VICKI L VERMEER (PRESIDENT/ PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8044353435 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | 2305202045 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CH0505 | 01 |
| VA | ANTHEM BC & BS | 194072 | 01 |
| VA | 009402331 | 05 | |
| VA | SENTARA | 20091 | 01 |
| Other Name | Type Code |
|---|---|
| Carousel Physical Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10880 General Puller Hwy Ste N, Hartfield, VA 230713140 | 8047768500 | 8047758505 |
| Street Address |
500 IRVINGTON ROAD |
| City | KILMARNOCK |
| State | VA |
| Zip Code | 22482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437512175 | Kennan Mcvey Wyne | Physical Therapist | 500 Irvington Road, Kilmarnock, VA 22482-0128 | 2016-03-31 |
| 1326471335 | Therese Bowen | Occupational Therapist | 500 Irvington Road, Kilmarnock, VA 22482-0128 | 2013-08-13 |
| 1487968277 | Kara Nicole Everett | Physical Therapist | 500 Irvington Road, Kilmarnock, VA 22482 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124798 | Katie Lynn Willis | Pharmacist | 573 N. Main Street, Kilmarnock, VA 22482 | 2020-08-14 |
| 1912423294 | Janet Lee Gilbert | Speech-Language Pathologist | 41 Noblett Lane, Kilmarnock, VA 22482 | 2017-08-17 |
| 1376096602 | John Michael Massaro | Physician Assistant | 51 Willliam B. Graham Court, Kilmarnock, VA 22482 | 2016-08-03 |
| 1629325287 | Ruth Marion Harris | Registered Nurse | 51 Harris Road, Kilmarnock, VA 22482 | 2012-08-13 |
| 1194995621 | Chesapeake Medical Group | Family Medicine | 86 Harris Road, Kilmarnock, VA 22482 | 2008-03-12 |
| 1104096882 | Kimberly A. Stout | Audiologist | 45 N. Main Street, Kilmarnock, VA 22482 | 2008-03-10 |
| 1487824603 | M Suzanne Souders | Social Worker | 113 Dmv Drive, Kilmarnock, VA 22482 | 2008-03-04 |
| 1770773673 | Vikas Maan Md, Pllc | Preferred Provider Organization | 117 Irvington Road, Kilmarnock, VA 22482 | 2007-07-26 |
| 1306050661 | Bay Internists, Inc. | Internal Medicine | 107 Dept of Motor Vehicle Drive, Kilmarnock, VA 22482 | 2007-05-09 |
| 1790908978 | Daphne Papaefthimiou | Dentist | 508 Irvington Rd, Kilmarnock, VA 22482 | 2007-04-10 |
| Find all providers in zip 22482 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374005 | David Richard Antonio | Specialist | 95 Harris Rd, Building 5, Kilmarnock, VA 22482-3845 | 2005-08-23 |
| 1275586240 | Northern Neck Surgical Services | Specialist | 95 Harris Rd, Building 1, Kilmarnock, VA 22482-3845 | 2006-05-18 |
| 1619960952 | Robert William Poole | Specialist | 95 Harris Rd, Building 5, Kilmarnock, VA 22482-3845 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | KILMARNOCK |
| Zip Code | 22482 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.