NPIMap

Organization Active NPI

Blue Ridge Orthopaedic, Occupational Therapy

  • Physical Therapist
  • Warrenton, VA
National Provider Identifier
1720142417
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0119001826
Legal business name
BLUE RIDGE ORTHOPAEDIC, OCCUPATIONAL THERAPY
Practice address
52 W Shirley Ave BLDG B
Warrenton, VA 20186-3008
Phone
(540) 347-9220
Fax
(540) 347-0492
NPI assigned
Dec 20, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alethea Nuttall
Title
Coding Compliance
Phone
(540) 347-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0119001826 Primary

Addresses

Primary practice location

52 W Shirley Ave BLDG B
Warrenton, VA 20186-3008

Mailing address

52 W Shirley Ave BLDG B
Warrenton, VA 20186-3008
Phone (540) 347-9220

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Ortho Assoc GRP6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 W Shirley Ave
Bldg B
Warrenton, VA 20186
Phone (540) 347-2918

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1720142417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W SHIRLEY AVE BLDG B",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863008",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W SHIRLEY AVE BLDG B",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863008",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ORTHOPAEDIC, OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "NUTTALL",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CODING COMPLIANCE",
        "authorized_official_telephone_number": "540-347-9298"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "0119001826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.