South River Rehabilitation and Performance

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SOUTH RIVER REHABILITATION AND PERFORMANCE

Practice address

38 Ebco Cir
Waynesboro, VA 22980-7344

Phone

(540) 490-0308

Fax

(540) 451-7064

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Justin Thomas DimittNPI 1407142482

Title

Owner, Physical Therapist

Phone

(540) 490-0308

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin T Dimitt, DPT

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1407142482
  Medicare reassignment NPD Authorized official
• Jane Elizabeth Gilford, DPT

  • Physical Therapist
  • Waynesboro, VA
  • NPI 1114592896
  Medicare reassignment NPD
• Aaron Lam, DPT

  • Physical Therapist
  • Fishersville, VA
  • NPI 1194327536
  Medicare reassignment NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1548828205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EBCO CIR STE 106",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-490-0308",
            "fax_number": "540-451-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EBCO CIR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-490-0308",
            "fax_number": "540-451-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIVER REHABILITATION AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "DIMITT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-490-0308"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407142482",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Smith, M.S., LPC MHSP
• Emilee Michelle Burke Smith
• Mitchell T. Smolkin, M.D.
• Donald Solimini, PA
• South River Counseling Collective, PLLC
• Southern Trans LLC
• George Thomas Sproul, M.D.
• St Lukes Assisted Care Residence
• Jonathan Daniel Steck, MSW
• Karlton A Stein, MD

• Orthopedic Physical Therapist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.