Organization Active NPI

Galax Rehabilitation Services, Inc.

  • Physical Therapist
  • Galax, VA
National Provider Identifier
1306920244
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005319 Issued in VA
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

Updated by the provider on Mar 11, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
195914OtherVABCBS
195917OtherVABCBS

Other names 1

  • Williams Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.