MEDICOMP, INC. (NPI# 1669837241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669837241 |
| Entity Type | Organization |
| Organization Name | MEDICOMP, INC. |
| Other Organization Name | MEDICOMP PHYSICAL THERAPY PATRICK |
| Practice Address |
817 Woodland Drive Stuart VA 24171-1559 |
| Mailing Address |
2015 Highpointe Dr Brandon MS 39042-3169 |
| Practice Telephone | 2766943151 |
| Practice Fax Number | 2766948655 |
| Mailing Telephone | 6018248914 |
| Mailing Fax Number | 6018248828 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | MR. JOSEPH MCNULTY (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medicomp Physical Therapy Patrick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509728 | Medicomp, Inc. | Clinic/Center | 3454 Highway 80 E, Pearl, MS 39208-4001 | 2016-02-29 |
| 1033574579 | Medicomp, Inc. | Clinic/Center | 647 Flowers Drive, Blakely, GA 39823-2574 | 2015-12-29 |
| 1114229168 | Medicomp, Inc. | Physical Therapist | 1392 W Government St # C, Brandon, MS 39042-3049 | 2010-11-24 |
| 1285950246 | Medicomp, Inc. | Occupational Therapist | 357 Simpson Highway 149, Magee, MS 39111-3877 | 2010-04-15 |
| 1780049353 | Medicomp, Inc. | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2015-12-23 |
| 1952766537 | Medicomp, Inc. | Clinic/Center | 18797 Alberta St, Oneida, TN 37841-2127 | 2015-12-23 |
| 1861794810 | Medicomp, Inc. | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2010-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICOMP, INC. | 600 Atlantis Rd, Melbourne, FL 32904-2315 |
| Washington State Corporations | MEDICOMP, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
817 WOODLAND DRIVE |
| City | STUART |
| State | VA |
| Zip Code | 24171-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1356724926 | Tracy Hannold | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| 1902900202 | Pch Operations, LLC Dba R.j. Reynolds-patrick County Memorial Hospital | General Acute Care Hospital | 18688 Jeb Stuart Highway, Stuart, VA 24171 | 2006-09-08 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811401029 | Enduracare Acute Care Services LLC | Clinic/Center | 817 Woodland Dr, Stuart, VA 24171-1560 | 2017-11-27 |
| 1871968032 | Wiedner Family Chiropractic | Clinic/Center | 931 Se Ocean Blvd Ste C, Stuart, FL 34994-2425 | 2015-12-14 |
| 1689892952 | Wilson Physical Therapy. P.a., Inc | Clinic/Center | 1989 S. Federal Highway, Suite 203, Stuart, FL 34994-3949 | 2007-04-23 |
| 1528165040 | Physical Therapy and Fitness Institute, Inc | Clinic/Center | 2020 Se Ocean Blvd, Stuart, FL 34996-3304 | 2006-09-19 |
| 1760436034 | Oceanside Physical Therapy, Inc. | Clinic/Center | 2030 Se Ocean Blvd, Stuart, FL 34996-3304 | 2006-05-20 |
| 1548432198 | Schramm Physical Therapy, Inc | Clinic/Center | 451 Se Riverside Dr, Stuart, FL 34994-2584 | 2008-03-24 |
| 1871762104 | Loving Chiropractic and Wellness Center Inc | Clinic/Center | 630 Se Monterey Rd, Stuart, FL 34994-4410 | 2008-02-20 |
| 1548324221 | Figueroa and Colina Rehabilitation Services, Inc. | Clinic/Center | 900 Se Ocean Blvd, Suite 244 Bldg E, Stuart, FL 34994-2471 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194332 | The Royalty Treatment LLC | Clinic/Center | 14413 Huntgate Woods Rd, Midlothian, VA 23112-4362 | 2020-11-02 |
| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.