Greenbrier Valley Physical Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREENBRIER VALLEY PHYSICAL THERAPY LLC

Practice address

104 Kingston Dr
Daleville, VA 24083-2575

Phone

(304) 647-3987

NPI assigned

Jun 10, 2008

Last updated

Nov 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GREENBRIER VALLEY PHYSICAL THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Amanda Streeter

Title

Vice President

Phone

(800) 699-9395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Greenbrier Valley Physical Therapy LLC

  dba South River Rehabilitation and Performance

  • Physical Medicine & Rehabilitation Physician
  • Waynesboro, VA
  • NPI 1073357893

  O20101103000743

  Same enrollment
• Greenbrier Valley Physical Therapy LLC

  dba Daleville Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Daleville, VA
  • NPI 1447892997

  O20101103000743

  Same enrollment
• Greenbrier Valley Physical Therapy LLC

  dba South River Rehabilitation and Performance

  • Physical Medicine & Rehabilitation Physician
  • Staunton, VA
  • NPI 1720822547

  O20101103000743

  Same enrollment
• Greenbrier Valley Physical Therapy, LLC

  dba Ridgeline Physical Therapy

  • Physical Therapist
  • Low Moor, VA
  • NPI 1710537626

  O20101103000743

  Same enrollment
• Greenbrier Valley Physical Therapy, LLC

  dba Ridgeline-Bath Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Hot Springs, VA
  • NPI 1962018200

  O20101103000743

  Same enrollment
• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932

  O20101103000743

  Same enrollment

Part of

Seneca Trail Physical T

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Greenbrier Valley Emg LLC

  • Clinical Neurophysiology Physician
  • Low Moore, VA
  • NPI 1578229167

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700265600000",
    "number": "1447410923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "800-699-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KINGSTON DR",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832575",
            "telephone_number": "304-647-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER VALLEY PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENBRIER VALLEY PHYSICAL THERAPY, LLC",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy F Fontaine, PTA
• Ryan P Fulton
• Cameron Wayne Galbreath, CRNP
• Jordan N Gibson, DPT
• Susan K. Goode, NP
• Greenbrier Valley Physical Therapy LLC (Daleville Physical Therapy)
• Heather O Greer, MD
• Madisyn Grogan, OTR/L
• Luke Spencer Hale, PA-C
• Katherine Harris, DO

• Specialist in Daleville, VA
• Providers in Daleville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.