Worrell Therapy Services LLC
Organization Active NPI Physical Therapist · Independence, VA
NPI 1508103409 · NPPES record last updated Feb 18, 2020
Key facts
- NPI
- 1508103409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- WORRELL THERAPY SERVICES LLC
- Practice address
- 574 E Main St
Independence, VA 24348-3879 - Phone
- (276) 733-6287
- NPI assigned
- Jan 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Brandy S Ring
- Title
- Owner / Physical Therapist
- Phone
- (276) 773-8118
Practitioners 17
-
Brandy S Ring, DPT
-
Larry Cook, PT, DPT
-
Erica Poe Forrester, PT, DPT
-
Logan P Hart, PT, DPT
-
Jade Leandria Shepherd, PT, DPT
-
Zach Cayton, PT, DPT
-
Mikayla Montgomery, LPTA
-
Lisa Funk, LPTA
-
Kristine M Hanks, P. T.
-
Tammy Joyce, LPTA
-
Jonathan Warren, L.P.T.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140218000986 | VA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2769611672 |
Receives reassigned benefits from 9 practitioners Practice locations: Independence, VA; Galax, VA |
National Provider Directory
Locations
967 E Stuart Dr
Ste B
Galax, VA 24333
Phone (276) 238-8118
969 E Stuart Dr
Galax, VA 24333
Phone (275) 238-8118
574 E Main St
Independence, VA 24348
Phone (276) 733-6287
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
574 E Main St
Independence, VA 24348-3879
Mailing address
895 N 6TH St
Wytheville, VA 24382-1859
Phone (276) 768-7081
Other names
- Mountain Valley Physical Therapy
Other providers in Independence, VA
All providers in Independence, 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 Feb 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.