Watauga Physical Therapy, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

NO STATE LICENSE Issued in VA

Legal business name

WATAUGA PHYSICAL THERAPY, INC.

Practice address

16487 Jeb Stuart Hwy
Abingdon, VA 24211-7449

Phone

(276) 628-8113

Fax

(276) 628-8032

NPI assigned

May 13, 2006

Last updated

Aug 22, 2020By 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

Ms. Jane W Boyles, P.T.

Title

President

Phone

(276) 628-8113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700837838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242121823",
            "telephone_number": "276-628-8113",
            "fax_number": "276-628-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16487 JEB STUART HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117449",
            "telephone_number": "276-628-8113",
            "fax_number": "276-628-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-628-8113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "NO STATE LICENSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington County Public Schools
• Washington County Virginia
• Randall B Wasson, DO
• Watauga Medical Group
• Watauga Orthopaedics, PLC
• Watauga Rehabilitation, Inc.
• Mitchell Todd Watson, D.C.
• Derek Webb, PHARM D
• Rebecca Kate Webb, PHARM D
• William McNeil Welborne, D.D.S.

• Clinic/Center in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Clinic/Center in Virginia

• 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.

Verify at the official NPI Registry.