Caroline Bach
Individual provider Active NPI Physical Therapist · Palmyra, VA
NPI 1457716672 · NPPES record last updated Sep 4, 2019
Key facts
- NPI
- 1457716672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305211118 (VA)
- Practice address
- 109 Crofton PL
Palmyra, VA 22963 - Phone
- (434) 589-9588
- Fax
- (434) 589-4096
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 43131 | CA | MD | Physical Therapist |
| 2305211118 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
109 Crofton Pl
Palmyra, VA 22963
Phone (434) 589-9588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 43131 | CA | |
| Physical Therapist | 225100000X | 2305211118 | VA | Yes |
Addresses
Primary practice location
109 Crofton PL
Palmyra, VA 22963
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other practice location 1
101 Buddell Dr
Exton, PA 19341-1429
Phone (610) 804-3185
Other names
- Caroline Toole
Other providers in Palmyra, VA
- Adjustments for Life PC
- John Rexis Aguilar
- Amaya Alther
- Getachew Ali Amedie
- Amy Beyer LLC
- Travis Bailey
- Randolph Marshall Baker
- Heather Ann Barlow
- Bates Counseling & Consultation Services LLC
- Lindsay Ann Benson
All providers in Palmyra, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.