Watauga Rehabilitation, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATAUGA REHABILITATION, INC.

Practice address

16487 Jeb Stuart Hwy
Abingdon, VA 24211-7449

Phone

(276) 628-8113

Fax

(276) 628-8032

NPI assigned

May 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jane W Boyles

Title

Owner

Phone

(276) 628-8113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427007665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242121823",
            "telephone_number": "276-628-8113",
            "fax_number": "276-628-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16487 JEB STUART HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117449",
            "telephone_number": "276-628-8113",
            "fax_number": "276-628-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-628-8113",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9102591",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington County Virginia
• Randall B Wasson, DO
• Watauga Medical Group
• Watauga Orthopaedics, PLC
• Watauga Physical Therapy, Inc.
• Mitchell Todd Watson, D.C.
• Derek Webb, PHARM D
• Rebecca Kate Webb, PHARM D
• William McNeil Welborne, D.D.S.
• Wellmont Health System

• Durable Medical Equipment & Medical Supplies in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Durable Medical Equipment & Medical Supplies 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.