Professional Therapies of Roanoke Inc.
Organization Active NPI Rehabilitation Clinic/Center · Midlothian, VA
NPI 1013667005 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1013667005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- PROFESSIONAL THERAPIES OF ROANOKE INC.
- Practice address
- 6800 Woodlake Commons Loop
Midlothian, VA 23112-2281 - Phone
- (419) 221-6717
- Fax
- (419) 222-0507
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Steve Krzyminski
- Title
- Exec VP
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 10
Member of 1
Practitioners 273
-
James Austin Keesee, PT, DPT
-
Gohar M Abbasi, MD
-
Daniel M Addis, MD, DO
-
Mariam Alshagra, DO
-
Andrew Joseph Anderson, D.O.
-
Zoraida Arboleda, FNP
-
Kenjilyn Uchida Ares, FNP-C
-
Jessica A Aseng, PA
-
Allison Rae Bailey, FNP
-
Margaret Mary Bauer, DNP, PMHNP-BC
-
William R Beach, MD
-
Maggie Belton, DO
-
Joyce E Beltran-Keeling, M.D.
-
Larry L Benson, MD
-
Robyn R Berkley, MPT
-
Miles Thomas Birmingham, D.O.
-
Diane Winn Blair, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190906002502 | VA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3375710619 |
Receives reassigned benefits from 15 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, VA; Danville, VA; Lynchburg, VA; Madison Heights, VA; Martinsville, VA; Midlothian, VA; Richmond, VA |
| O20230426002687 | VA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3375710619 |
2 other NPIs on this enrollment Practice locations: Madison Heights, VA; Midlothian, VA; Richmond, VA |
National Provider Directory
- Tax ID family
- Blacksburg Physical Therapy Associates
Locations
3745 Shawnee Rd
Ste 103
Lima, OH 45806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Midlothian
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All providers in Midlothian, VA · Rehabilitation Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.