Organization Active NPI

Procare PT PLC

  • Specialist
  • Roanoke, VA
National Provider Identifier
1447350046
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1109362305005536 Issued in VA
Legal business name
PROCARE PT PLC
Practice address
2302 Colonial Ave SW Ste G
Roanoke, VA 24015-3100
Phone
(540) 982-2273
Fax
(540) 982-2274
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Jennifer M Rich
Title
Managing Member
Phone
(540) 982-8873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1109362305005536 VA Primary

Addresses

Primary practice location

2302 Colonial Ave SW Ste G
Roanoke, VA 24015-3100

Mailing address

2302 Colonial Ave SW Ste G
Roanoke, VA 24015-3100
Phone (540) 982-2273

National Provider Directory

National Provider Directory

Locations

2302 Colonial Ave SW
Ste G
Roanoke, VA 24015
Phone (540) 403-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1447350046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW STE G",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153100",
            "telephone_number": "540-982-2273",
            "fax_number": "540-982-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLONIAL AVE SW STE G",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153100",
            "telephone_number": "540-982-2273",
            "fax_number": "540-982-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "540-982-8873"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "1109362305005536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.