Botetourt Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305207120 Issued in VA

Legal business name

BOTETOURT PHYSICAL THERAPY LLC

Practice address

104 Kingston Dr
Daleville, VA 24083-2575

Phone

(540) 992-3660

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By 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

Eric William Thorne, PT

Title

Physical Therapist

Phone

(540) 992-3660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1699175810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KINGSTON DR",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832575",
            "telephone_number": "540-992-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KINGSTON DR",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832575",
            "telephone_number": "540-992-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTETOURT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-992-3660",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305207120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Barkovic Balbach, NP-C
• Laura C Biscotte, NP
• Sherry Michelle Boone, ACNPC
• Botetourt Chiropractic
• Botetourt Health Care, LLC (Carrington Place @ Botetourt Commons)
• Botetourt SNF Operations LLC (Daleville Health & Rehabilitation)
• Connie Brooks, NP-C
• Jeffry Adam Burke, DMD
• Jourdan Paige Bushman
• Calming Waters Counseling LLC

• Physical Therapy Clinic/Center in Daleville, VA
• Providers in Daleville, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.