North Roanoke Rehab Medicine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NORTH ROANOKE REHAB MEDICINE PC

Practice address

5720 Williamson Rd
Ste 107 North Roanoke Rehab Medicine PC
Roanoke, VA 24012

Phone

(540) 265-6710

Fax

(540) 265-6712

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Ae-Sik Kim, MD

Title

Owner

Phone

(540) 265-6710

Specialties & licenses 1

Addresses

Tax ID family

North Roanoke Rehab Med PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Roanoke Rehab Med PC

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1578660775
  NPD tax ID

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1023108750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "address_2": "NORTH ROANOKE REHAB MEDICINE PC",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24015",
            "telephone_number": "540-344-9781",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 WILLIAMSON RD",
            "address_2": "STE 107 NORTH ROANOKE REHAB MEDICINE PC",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-265-6710",
            "fax_number": "540-265-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ROANOKE REHAB MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "AE-SIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-265-6710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lea Norma, M.ED., BCBA, LBA
• Sally Normandin
• Kelsey Hodges Norris, DO
• North Roanoke Assisted Living
• North Roanoke Rehab Med PC
• Amanda Renee North, M.A. CCC-SLP
• Cameran Shiflett Norton
• Kimberly Sue Norton
• Clifford Nottingham, MD
• Mary Nottingham, N.P.

• Physical Medicine & Rehabilitation Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.