Four Seasons Rehab, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

2202001125 Issued in VA

Legal business name

FOUR SEASONS REHAB, INC.

Practice address

108 1/2 Spruce St
Bluefield, VA 24605-1738

Phone

(276) 322-5511

Fax

(276) 322-2525

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By 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. Victoria Bourne, M.S., CCC-SLPNPI 1720258338

Title

President

Phone

(276) 322-5511

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Victoria Bourne

  • Speech-Language Pathologist
  • Bluefield, VA
  • NPI 1720258338
  Authorized official Same address or phone
• Maria Mamone Holdren, M.S., CCC-A

  • Audiologist
  • Camp Lejeune, NC
  • NPI 1932337482
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164527628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246050536",
            "telephone_number": "276-322-5511",
            "fax_number": "276-322-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 1/2 SPRUCE ST",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051738",
            "telephone_number": "276-322-5511",
            "fax_number": "276-322-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-322-5511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "VA",
            "license": "2202001125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Andrew Figueroa
• Shelly Ann Fizer, OT/L
• Foot and Ankle Clinic of the Virginias Inc
• Foot and Ankle Clinic of the Virginias, Inc
• Four Seasons Nuclear Medicine, PLLC
• Alisha Gauger
• Janice Newsom Geiger, R.PH
• Gibson Counseling Center (The Gibson Counseling Center)
• Jerry Dean Gibson, M.A., ED.D. LPC, NCC
• Pamela Roberts Gibson, LPC

• Hearing and Speech Clinic/Center in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Hearing and Speech Clinic/Center in Virginia

• 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.