Hanover Rehabilitation Associates, LLC

Key facts

NPI: 1114923786
Entity type: Organization (NPI type 2)
Primary specialty: Orthopedic Physical Therapist 2251X0800X
License: 2305002366 (VA)
Legal business name: HANOVER REHABILITATION ASSOCIATES, LLC
Practice address: 7496 Lee Davis Rd
Ste 19
Mechanicsville, VA 23111-3678
Phone: (804) 730-7730
Fax: (804) 730-7541
NPI assigned: Jun 28, 2005
Organization subpart: No

Authorized official

Name: Mr. David Joe Durham, PT NPI 1942206842
Title: President
Phone: (804) 730-7730

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

West Point Physical Therapy Physical Therapist · West Point, VA · NPI 1114070935

NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

David Joe Durham, PT Physical Therapist · Mechanicsville, VA · NPI 1942206842

NPD (past) Authorized official PHYSICAL THERAPIST
Christina Berben, DPT Physical Therapist · Locust Grove, VA · NPI 1407961477

NPD (past) PHYSICAL THERAPIST
Molly E. Fostek, PT, MSPT, CMTPT Physical Therapist · Chesapeake, VA · NPI 1477559235

NPD (past) PHYSICAL THERAPIST
Heidi Ellen Greene, MPT Physical Therapist · Manakin Sabot, VA · NPI 1669427795

NPD (past) PHYSICAL THERAPIST
Diana A Lim, PT, DPT, OCS,CERT DN Physical Therapist · Midlothian, VA · NPI 1093945768

NPD (past) PHYSICAL THERAPIST

National Provider Directory

Locations

7496 Lee Davis Rd
#19
Mechanicsvlle, VA 23111
Phone (804) 730-7730

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	2251X0800X	2305002366	VA	Yes

Addresses

Primary practice location

7496 Lee Davis Rd
Ste 19
Mechanicsville, VA 23111-3678

Mailing address

7496 Lee Davis Rd
Ste 19
Mechanicsville, VA 23111-3678
Phone (804) 730-7730

Other names

WEST POINT PHYSICAL THERAPY Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2007.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1114923786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7496 LEE DAVIS RD",
            "address_2": "STE 19",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-730-7730",
            "fax_number": "804-730-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7496 LEE DAVIS RD",
            "address_2": "STE 19",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113678",
            "telephone_number": "804-730-7730",
            "fax_number": "804-730-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER REHABILITATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-730-7730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305002366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST POINT PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsville, VA

All providers in Mechanicsville, VA · Orthopedic Physical Therapist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.