Organization Active NPI

New River Valley Rehab Services, PLLC

  • Occupational Therapist
  • Radford, VA
National Provider Identifier
1407472988
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
NEW RIVER VALLEY REHAB SERVICES, PLLC
Practice address
311 6TH St
Radford, VA 24141-2307
Phone
(540) 230-2663
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Kathleen Ponce, OTR/L
Title
Co-Owner
Phone
(540) 230-2663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

311 6TH St
Radford, VA 24141-2307

Mailing address

311 6TH St
Radford, VA 24141-2307
Phone (540) 230-2663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1407472988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412307",
            "telephone_number": "540-230-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412307",
            "telephone_number": "540-230-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER VALLEY REHAB SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "540-230-2663",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

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