Active NPI
Physical Therapy Services
- Physical Therapy Clinic/Center
- Galax, VA
National Provider Identifier
1609816495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2305001213
- Legal business name
- PHYSICAL THERAPY SERVICES
- Practice address
- 211 N Jefferson St
Galax, VA 24333-2846 - Phone
- (276) 236-8974
- Fax
- (276) 236-4735
- NPI assigned
- Jun 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Franklin B Isom, PT
- Title
- Owner/Therapist
- Phone
- (276) 236-8974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2305001213 | VA | Primary |
Addresses
Primary practice location
211 N Jefferson St
Galax, VA 24333-2846
Mailing address
211 N Jefferson St
Galax, VA 24333-2846
Phone (276) 236-8974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238546 | Other | VA | ANTHEM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Galax, VA
- NPI 1366622581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609816495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N JEFFERSON ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243332846",
"telephone_number": "276-236-8974",
"fax_number": "276-236-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N JEFFERSON ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243332846",
"telephone_number": "276-236-8974",
"fax_number": "276-236-4735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ISOM",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "276-236-8974",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2305001213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "238546",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
- Pathology Associates of Southwestern Virginia Inc
- Tracy Ann Patton, LPN
- Paul C. Liebrecht, M.D., P.C.
- Peace of Mind Counseling Service
- Arthur Samuel Pemberton, M.D.
- Sandra Faye Popplewell, NP
- Tina Medley Proffit, AUD
- Progressive Health Systems, LLC
- Prospect Park Counseling Services
- Mark A Pruitt, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.