Amelia Wellness and Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006053 Issued in 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

Last updated

Jan 9, 2008By 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

Mr. Tyler M Moore

Title

Owner

Phone

(804) 561-1617

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 3

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.

• James Michael Andelin, MSPT

  • Physical Therapist
  • Amelia, VA
  • NPI 1023067006
  NPD (past)
• Maria Binns Cannady, OTR/L

  • Occupational Therapist
  • Richmond, VA
  • NPI 1548213853
  NPD (past)
• Stephanie Noelle Taylor, M.S.,CCC-SLP/L

  • Speech-Language Pathologist
  • South Hill, VA
  • NPI 1780628933
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1679522684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12882 PATRICK HENRY HWY",
            "city": "AMELIA",
            "state": "VA",
            "postal_code": "230023929",
            "telephone_number": "804-561-1617",
            "fax_number": "804-561-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 PATRICK HENRY HWY",
            "city": "AMELIA",
            "state": "VA",
            "postal_code": "230023929",
            "telephone_number": "804-561-1617",
            "fax_number": "804-561-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA WELLNESS AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-561-1617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006053",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119002329",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-OT",
            "identifier": "194220",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT",
            "identifier": "194219",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-ST",
            "identifier": "194221",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "431649",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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 (Amelia County Health Department)
• Michele Monday Donoghue, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.