NPIMap

Organization Active NPI

Twin County Regional Hospital Physical Therapy

  • Physical Therapy Clinic/Center
  • Galax, VA
National Provider Identifier
1760717284
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TWIN COUNTY REGIONAL HOSPITAL PHYSICAL THERAPY
Doing business as
OUTPATIENT REHABILITATION SERVICES
Practice address
607 Glendale Rd
Galax, VA 24333-2209
Phone
(276) 236-1675
Fax
(276) 236-3399
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Nelson Lee Montgomery, CPA
Title
Cfo
Phone
(276) 236-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X VA Primary

Addresses

Primary practice location

607 Glendale Rd
Galax, VA 24333-2209

Mailing address

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1675

Other identifiers 2

IdentifierTypeStateIssuer
0490115MedicaidVA
007694OtherVABLUE CROSS

Other names 1

  • OUTPATIENT REHABILITATION SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twin Co CM Hos ER MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1760717284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-1675",
            "fax_number": "276-236-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332209",
            "telephone_number": "276-236-1675",
            "fax_number": "276-236-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN COUNTY REGIONAL HOSPITAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "276-236-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490115",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007694",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT REHABILITATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.