NPIMap

Organization Active NPI

Blue Ridge Rehabilitation Associates, Inc

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1497786438
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLUE RIDGE REHABILITATION ASSOCIATES, INC
Practice address
3008 B Berkmar Drive
Charlottesville, VA 22901-1443
Phone
(434) 973-5031
Fax
(434) 973-0520
NPI assigned
Jul 6, 2006
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dennis Yutchishen, P.T.NPI 1932437191
Title
Vice President
Phone
(434) 973-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3008 B Berkmar Drive
Charlottesville, VA 22901-1443

Mailing address

3008 B Berkmar Drive
Charlottesville, VA 22901-1443
Phone (434) 973-5031

Other identifiers 1

IdentifierTypeStateIssuer
004978056MedicaidVA

National Provider Directory

National Provider Directory

Locations

3008B Berkmar Dr
Charlottesville, VA 22901
Phone (434) 973-5031

674 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 817-5251

3010 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 973-5031

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1497786438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 B BERKMAR DRIVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011443",
            "telephone_number": "434-973-5031",
            "fax_number": "434-973-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 B BERKMAR DRIVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011443",
            "telephone_number": "434-973-5031",
            "fax_number": "434-973-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE REHABILITATION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "YUTCHISHEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "434-973-5031",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004978056",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.