Spine and Orthopedic Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPINE AND ORTHOPEDIC REHAB INC

Practice address

3060 Electric Rd Ste 1
Roanoke, VA 24018-3503

Phone

(540) 725-5300

Fax

(540) 725-5356

NPI assigned

Sep 16, 2006

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Joseph SidorNPI 1790881704

Title

President

Phone

(540) 725-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 10

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.

• Richard Joseph Sidor, PT

  • Physical Therapist
  • Roanoke, VA
  • NPI 1790881704
  Medicare reassignment NPD Authorized official
• Tabatha Robins

  • Physical Therapist
  • Augusta, GA
  • NPI 1063965895

  VA

  Medicare reassignment NPD
• Diane B Banyard, M P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1992834410
  NPD (past)
• Hans C Heerens, P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1811248958
  NPD (past)
• Kimberly P Jones, L.P.T.A.

  • Physical Therapy Assistant
  • Roanoke, VA
  • NPI 1043349665
  NPD (past)
• James Christian Oconnell, MP.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1174629174
  NPD (past)
• Paige S Puckett, L.P.T.A.

  • Physical Therapy Assistant
  • Roanoke, VA
  • NPI 1588793004
  NPD (past)
• Eric Christian Reichardt, M.P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1770689788
  NPD (past)
• Erik Thomas Smith, D.P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1821307869
  NPD (past)
• Cory A Newman, PT

  • Physical Therapist
  • Burnsville, MN
  • NPI 1811187776
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1568568574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 BELFORD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181916",
            "telephone_number": "540-725-5300",
            "fax_number": "540-725-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 ELECTRIC RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183503",
            "telephone_number": "540-725-5300",
            "fax_number": "540-725-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "SIDOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-725-5300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Sherman Spicer, R.N.
• Morgan Paige Spicer, CNA
• Rebecca Lynn Spicer
• Lily Spik, RD
• Spinal Care Center LLC
• Spine and Orthopedic Rehab of VA Inc
• Spine and Orthopedic Rehab of VA Inc
• Spine Center PC
• Janet Lee Spitzer, M.D.
• Dustin Spivey, DPT

• Physical Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.