Old Dominion University
NPI 1871929729 · Physical Therapist · Norfolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Dominion University is a Physical Therapist organization in Norfolk, VA (NPI 1871929729).
Provider details
- NPI number
- 1871929729
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Old Dominion University
- Organization subpart
- Yes
- Authorized official
- Lisa Koperna, Clinic Director(757) 683-7041
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Odu Monarch Physical Therapy
Registry dates
- Enumerated
- 2013-09-24
- Last updated
- 2025-09-02
- Certified
- 2024-06-14
Frequently asked questions
- What is Old Dominion University's NPI number?
- Old Dominion University's National Provider Identifier (NPI) is 1871929729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Dominion University?
- Old Dominion University is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Old Dominion University located?
- Old Dominion University's practice location on file with NPPES is 1019 W 41st St, Norfolk, VA 23529-0001.
- What is Old Dominion University's phone number?
- The practice phone number listed in the NPPES registry for Old Dominion University is (757) 683-7041.
- Does Old Dominion University accept Medicare?
- Old Dominion University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Dominion University?
- The authorized official listed on Old Dominion University's NPPES record is Lisa Koperna, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Dominion University's NPI active?
- Yes — Old Dominion University's NPI (1871929729) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.