NPIMap

Organization Active NPI

Baysiderehabilitation

  • Occupational Therapist
  • Belle Haven, VA
National Provider Identifier
1063597086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119002819 Issued in VA
Legal business name
BAYSIDEREHABILITATION
Practice address
36082 Lankford Hwy
Belle Haven, VA 23306
Phone
(757) 442-5222
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Stonestreet, OTNPI 1568670057
Title
Vice President
Phone
(757) 442-5222

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0119002819 VA Primary

Addresses

Primary practice location

36082 Lankford Hwy
Belle Haven, VA 23306

Mailing address

36082 Lankford Hwy
PO Box 149
Belle Haven, VA 23306
Phone (757) 442-5222

National Provider Directory

National Provider Directory
Tax ID family
Bayside Rehabilitation2 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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063597086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36082 LANKFORD HWY",
            "address_2": "PO BOX 149",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36082 LANKFORD HWY",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDEREHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONESTREET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-442-5222",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Haven, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.