NPIMap

Organization Active NPI

Appalachian Rehabilitation Team, Inc

Doing business as Park Avenue Physical Therapy

  • Physical Therapist
  • Norton, VA
National Provider Identifier
1013198498
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203978 Issued in VA
Legal business name
APPALACHIAN REHABILITATION TEAM, INC
Doing business as
Park Avenue Physical Therapy
Practice address
348 Coeburn Ave SW
Suite 348
Norton, VA 24273-2606
Phone
(276) 679-5217
Fax
(276) 679-5268
NPI assigned
Nov 14, 2007
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mr. John Philip Bentley, PTNPI 1295720480
Title
President
Phone
(606) 632-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203978 VA Primary

Addresses

Primary practice location

348 Coeburn Ave SW
Suite 348
Norton, VA 24273-2606

Mailing address

251 Medical Plaza Lane Ste D
Whitesburg, KY 41858-9323
Phone (606) 632-1188

Other names 1

  • Park Avenue Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Rehabilitation Team Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

348 Coeburn Ave SW
Ste 348
Norton, VA 24273
Phone (276) 679-5217

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1013198498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MEDICAL PLAZA LANE STE D",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418589323",
            "telephone_number": "606-632-1188",
            "fax_number": "606-632-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 COEBURN AVE SW",
            "address_2": "SUITE 348",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732606",
            "telephone_number": "276-679-5217",
            "fax_number": "276-679-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REHABILITATION TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-632-1188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.