Santera Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SANTERA REHABILITATION, INC

Practice address

227 Landmark Drive
Stuart, VA 24171

Phone

(276) 694-4594

Fax

(276) 694-4594

NPI assigned

May 24, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim Daugherty

Title

President

Phone

(423) 789-2010

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Savage Cornett, PT

  • Physical Therapist
  • Bristol, TN
  • NPI 1821272915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1003861105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "SUITE 440",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-789-2010",
            "fax_number": "423-789-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LANDMARK DRIVE",
            "city": "STUART",
            "state": "VA",
            "postal_code": "24171",
            "telephone_number": "276-694-4594",
            "fax_number": "276-694-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTERA REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-789-2010"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-79427",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Redd, LPC
• Renal Care Group of the South, Inc. (RCG Patrick County)
• Sandra Robertson, FNP
• Tracie Rogers, RPH
• Katherine Rose, D.C.
• Elizabeth Ann Shockley, NP
• Jane L Sirkel, LPC
• Staci Ficarrotto Soper, M.S. CCC-SLP
• Specialty Clinic (PCH Operations, LLC dba R.J. Reynolds-Patrick County Memorial Hospital)
• Holly Nicole Stewart, M.S. CCC-SLP

• Physical Therapist in Stuart, VA
• Providers in Stuart, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.