Charlottesville Rehabilitation Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

82480 Issued in VA

Legal business name

CHARLOTTESVILLE REHABILITATION EQUIPMENT

Practice address

1717 Allied St
Charlottesville, VA 22903-5320

Phone

(434) 971-8808

Fax

(434) 971-3754

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Aric Van Brocklin

Title

Owner

Phone

(434) 971-8808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1003913377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ALLIED ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035320",
            "telephone_number": "434-971-8808",
            "fax_number": "434-971-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ALLIED ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035320",
            "telephone_number": "434-971-8808",
            "fax_number": "434-971-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE REHABILITATION EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "VAN BROCKLIN",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-971-8808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "82480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer R. Charlton, M.D.

• Durable Medical Equipment & Medical Supplies in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.