Healthcare Provider Details
I. General information
NPI: 1740175330
Provider Name (Legal Business Name): UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1947 MEDICAL AVE
HARRISONBURG VA
22801-3437
US
IV. Provider business mailing address
PO BOX 749112
ATLANTA GA
30374-9112
US
V. Phone/Fax
- Phone: 540-705-0049
- Fax: 434-243-0320
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
S
JUST
Title or Position: CEO
Credential: MD
Phone: 434-972-4285