Organization Active NPI

Blue Ridge Integrative Wellness LLC

  • Rural Health Clinic/Center
  • Dryden, VA
National Provider Identifier
1174471650
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLUE RIDGE INTEGRATIVE WELLNESS LLC
Practice address
512 Dryden Loop
Dryden, VA 24243
Phone
(276) 212-4325
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Rodney Terry
Title
Manager
Phone
(276) 295-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

512 Dryden Loop
Dryden, VA 24243

Mailing address

512 Dryden Loop
Dryden, VA 24243
Phone (276) 212-4325

Other names 1

  • Powell Valley Healthcare Dryden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Integrative Wellness LLC2 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.

Locations

512 Dryden Loop
Dryden, VA 24243
Phone (276) 212-4325

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1174471650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 DRYDEN LOOP",
            "city": "DRYDEN",
            "state": "VA",
            "postal_code": "24243",
            "telephone_number": "276-212-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 DRYDEN LOOP",
            "city": "DRYDEN",
            "state": "VA",
            "postal_code": "24243",
            "telephone_number": "276-212-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE INTEGRATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "276-295-2359"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Valley Healthcare Dryden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dryden, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.