Amelia Wellness and Rehabilitation LLC

Key facts

NPI: 1679522684
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
License: 2305006053 (VA)
Legal business name: AMELIA WELLNESS AND REHABILITATION LLC
Practice address: 12882 Patrick Henry Hwy
Amelia, VA 23002-3929
Phone: (804) 561-1617
Fax: (804) 561-5533
NPI assigned: May 8, 2006
Organization subpart: No

Authorized official

Name: Mr. Tyler M Moore
Title: Owner
Phone: (804) 561-1617

Practitioners 3

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

James Michael Andelin, MSPT Physical Therapist · Amelia, VA · NPI 1023067006

NPD (past) PHYSICAL THERAPIST
Maria Binns Cannady, OTR/L Occupational Therapist · Richmond, VA · NPI 1548213853

NPD (past) OCCUPATIONAL THERAPIST
Stephanie Noelle Taylor, M.S.,CCC-SLP/L Speech-Language Pathologist · South Hill, VA · NPI 1780628933

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

National Provider Directory

Locations

12882 Patrick Henry Hwy
Amelia Court House, VA 23002
Phone (804) 561-1617

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	225100000X	2305006053	VA	Yes
Occupational Therapist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	225X00000X	0119002329	VA
Speech-Language Pathologist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	235Z00000X	2202004731	VA

Addresses

Primary practice location

12882 Patrick Henry Hwy
Amelia, VA 23002-3929

Mailing address

12882 Patrick Henry Hwy
Amelia, VA 23002-3929
Phone (804) 561-1617

Other identifiers

Identifier	Type	State	Issuer
194219	Other	VA	ANTHEM PT
194221	Other	VA	ANTHEM-ST
431649	Other	VA	SOUTHERN HEALTH
194220	Other	VA	ANTHEM-OT

Other providers in Amelia, VA

Amelia Emergency Squad Inc
James Michael Andelin, MSPT
Rita M Barrett, NP-C
Margaret Rodgers Campbell, M.D.
Commonwealth of Virginia State Board of Health
Michele Monday Donoghue, FNP

All providers in Amelia, VA · Physical Therapist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.