NPIMap

Organization Active NPI

Worrell Therapy Services LLC

Doing business as Mountain Valley Physical Therapy

  • Physical Therapist
  • Independence, VA
National Provider Identifier
1508103409
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WORRELL THERAPY SERVICES LLC
Doing business as
Mountain Valley Physical Therapy
Practice address
574 E Main St
Independence, VA 24348-3879
Phone
(276) 733-6287
NPI assigned
Jan 11, 2013
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Brandy S RingNPI 1063991222
Title
Owner / Physical Therapist
Phone
(276) 773-8118

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 Primary

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 1

  • Mountain Valley Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1508103409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 N 6TH ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821859",
            "telephone_number": "276-768-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 E MAIN ST",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243483879",
            "telephone_number": "276-733-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORRELL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "276-773-8118"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.