Runk and Pratt of Forest

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

RO-08129 Issued in VA

Legal business name

RUNK AND PRATT OF FOREST

Practice address

208 Gristmill Dr
Forest, VA 24551-2604

Phone

(434) 385-8506

Fax

(434) 385-6678

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brian Runk

Title

Ceo

Phone

(434) 237-2268

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1588812549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GRISTMILL DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512604",
            "telephone_number": "434-385-8506",
            "fax_number": "434-385-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GRISTMILL DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512604",
            "telephone_number": "434-385-8506",
            "fax_number": "434-385-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNK AND PRATT OF FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "RUNK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-237-2268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "VA",
            "license": "RO-08129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102578751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rogojan
• Rooted Beginnings Pediatric Therapies LLC
• James A Rosser Jr.
• Amy S Roupe, LPC
• Kaitlin Royer, LPC
• Runk and Pratt Senior Living Services Inc
• Sai Physical Therapy PLLC
• Jennifer Marshall Sandvig, PT, DPT
• Ericka Saylor
• Amanda Schaap

• Alzheimer Center (Dementia Center) in Forest, VA
• Providers in Forest, VA by specialty
• Alzheimer Center (Dementia Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.