NPIMap

Organization Active NPI

Spine and Orthopedic Rehab of VA Inc

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1720184732
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINE AND ORTHOPEDIC REHAB OF VA INC
Practice address
5238 Valleypointe Pkwy Ste 5
Roanoke, VA 24019-3066
Phone
(540) 366-9244
Fax
(540) 366-9245
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Eric ReichardtNPI 1770689788
Title
President
Phone
(540) 985-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5238 Valleypointe Pkwy Ste 5
Roanoke, VA 24019-3066

Mailing address

PO Box 8763
Roanoke, VA 24014-0732
Phone (540) 985-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061205000037 VA Part B Supplier - Clinic/Group Practice 8820097702 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory
Tax ID family
Spine and Orthopaedic Rehab of VA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1316 S Jefferson St
Ste 2
Roanoke, VA 24016
Phone (540) 985-6500

5238 Valleypointe Pkwy
Ste 5
Roanoke, VA 24019
Phone (540) 366-9244

1310 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

Ownership & related parties

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1720184732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8763",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140732",
            "telephone_number": "540-985-6500",
            "fax_number": "540-985-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 VALLEYPOINTE PKWY STE 5",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193066",
            "telephone_number": "540-366-9244",
            "fax_number": "540-366-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC REHAB OF VA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-985-6500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.