Blue Ridge Physical Medicine

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

BLUE RIDGE PHYSICAL MEDICINE

Practice address

4582 Franklin Rd SW
Roanoke, VA 24014-5144

Phone

(540) 772-8052

Fax

(540) 772-4508

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By 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

Dr. Rebecca W TannerNPI 1548367667

Title

Owner

Phone

(540) 772-8052

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Rebecca Webb Tanner

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Roanoke, VA
  • NPI 1548367667
  Authorized official Same address or phone
• Amin M. Karkain, PA-C

  • Physician Assistant
  • Stafford, VA
  • NPI 1518938299
  NPD (past)
• Tracy Kletzing, PA

  • Medical Physician Assistant
  • Christiansburg, VA
  • NPI 1073772273
  NPD (past)
• Sandra Dee Vigh, PT

  • Specialist
  • Roanoke, VA
  • NPI 1740454461
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1710173679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145144",
            "telephone_number": "540-772-8052",
            "fax_number": "540-772-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145144",
            "telephone_number": "540-772-8052",
            "fax_number": "540-772-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-772-8052",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Mind and Wellness
• Blue Ridge Mind and Wellness PLLC
• Blue Ridge Optical
• Blue Ridge Optical
• Blue Ridge Optical
• Blue Ridge Telehealth
• Blue Ridge Urogynecology, Inc
• Blue Ridge Vascular & Endovascular Institute LLC
• Blue Ridge Wound Care LLC
• Logan D Blunk, D.O.

• Pain Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pain Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.