Blue Ridge Physical Therapy, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21260 Issued in MD

Legal business name

BLUE RIDGE PHYSICAL THERAPY, LLC

Practice address

1833 Point of Rocks Rd
Knoxville, MD 21758-9024

Phone

(301) 788-7467

Fax

(301) 834-7677

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Thompson, PT

Title

Owner

Phone

(301) 788-7467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1083851315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 POINT OF ROCKS RD",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217589024",
            "fax_number": "301-834-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 POINT OF ROCKS RD",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217589024",
            "telephone_number": "301-788-7467",
            "fax_number": "301-834-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-788-7467",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "21260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centrepointe Counseling, Inc.
• Charles Anthony Collins
• Comforting Companions LLC
• Beverly Whitehead Fairchild, M.S., LCPC, NCC
• Danielle Lillian Gallupe

• Specialist in Knoxville, MD
• Providers in Knoxville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.