CJW SPORTS MEDICINE LLC (NPI# 1770572885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770572885 |
| Entity Type | Organization |
| Organization Name | CJW SPORTS MEDICINE LLC |
| Other Organization Name | NO DBA CJW SPORTS MEDICINE |
| Practice Address |
5309 Commonwealth Parkway Suite 100 Richmond VA 23112 |
| Practice Telephone | 8047459000 |
| Practice Fax Number | 8043307055 |
| Mailing Telephone | 8047459000 |
| Mailing Fax Number | 8043307055 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | CAROL SMITH (VP) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1770572885 | 05 |
| Other Name | Type Code |
|---|---|
| no dba CJW Sports Medicine | Doing Business As Name - Organization |
| Street Address |
5309 COMMONWEALTH PARKWAY SUITE 100 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431512 | Katherine L Dec | Physical Medicine & Rehabilitation | 1250 E Marshall St, Physical Medicine and Rehab, Richmond, VA 23298-5051 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603663 | Gregory Hartman, Dpt LLC | Physical Medicine & Rehabilitation | 47327 Rock Falls Ter, Sterling, VA 20165-2433 | 2020-09-09 |
| 1194334326 | Sterling Leann Cupp | Physical Medicine & Rehabilitation | 24180 Belleau Avenue, Quantico, VA 22134-5109 | 2020-07-23 |
| 1225502883 | Robert Banks | Physical Medicine & Rehabilitation | 6014 Stoddard Ct Apt P2, Alexandria, VA 22315-5607 | 2019-01-17 |
| 1285131524 | Amber Cook | Physical Medicine & Rehabilitation | 613 Woodcliffe Dr, Colonial Heights, VA 23834-1942 | 2018-04-12 |
| 1871947564 | Elizabeth Daidone | Physical Medicine & Rehabilitation | 72 Bolling Cir, Palmyra, VA 22963-3247 | 2016-04-19 |
| 1205246519 | Bon Secours Depaul Medical Center Inc | Physical Medicine & Rehabilitation | 908 Eden Way N Ste 100, Chesapeake, VA 23320-3336 | 2014-05-08 |
| 1467876789 | Joshua J. Rader | Physical Medicine & Rehabilitation | 1460 University Drive, Shenandoah University, Winchester, VA 22601 | 2014-02-06 |
| 1497075584 | Stephanie A Giammittorio | Physical Medicine & Rehabilitation | 120 Kings Way Ste 2800, Williamsburg, VA 23185 | 2010-06-11 |
| 1063489946 | Ricky Randall Lapradd Jr. | Physical Medicine & Rehabilitation | 2102 Grandin Rd Sw, Roanoke, VA 24015-3528 | 2006-03-01 |
| 1861032427 | Shawn Van Decker | Physical Medicine & Rehabilitation | 611 Watkins Centre Pkwy, Midlothian, VA 23114-4404 | 2020-01-13 |
| 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.