Active NPI
Galax Rehabilitation Services, Inc.
- Physical Therapist
- Galax, VA
National Provider Identifier
1306920244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005319
- Legal business name
- GALAX REHABILITATION SERVICES, INC.
- Doing business as
- Williams Physical Therapy
- Practice address
- 106 W Stuart Dr
Galax, VA 24333-2114 - Phone
- (276) 238-8900
- Fax
- (276) 238-8904
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Clark Williams Jr., P.T.
- Title
- Owner/Director
- Phone
- (276) 238-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005319 | VA | Primary |
Addresses
Primary practice location
106 W Stuart Dr
Galax, VA 24333-2114
Mailing address
106 W Stuart Dr
Galax, VA 24333-2114
Phone (276) 238-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195914 | Other | VA | BCBS |
| 195917 | Other | VA | BCBS |
Other names 1
- Williams Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1306920244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W STUART DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332114",
"telephone_number": "276-238-8900",
"fax_number": "276-238-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W STUART DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332114",
"telephone_number": "276-238-8900",
"fax_number": "276-238-8904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALAX REHABILITATION SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "276-238-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "195914",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "195917",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Williams Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.