NPIMap

Organization Active NPI

Hanover Rehabilitation Associates, LLC

  • Orthopedic Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1114923786
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305002366 Issued in 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
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

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

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 2305002366 VA Primary

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 1

  • WEST POINT PHYSICAL THERAPY Other name

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

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.

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.