Haymarket Physical Therapy LLC
NPI 1093199275ActiveOrganization· Physical Therapist· Gainesville, VA
Physical Therapist in Gainesville, Virginia, registered in NPPES in July 2015. The authorized official on file is Jessica Holdaway, Practice Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1093199275 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2015 |
| Last updated in NPPES | Dec 6, 2023 |
| Certified by provider | Jun 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305207830 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (VA) |
|---|
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