Organization Active NPI

Center for Rehabilitation & Development, Inc.

  • Speech-Language Pathologist
  • Roanoke, VA
National Provider Identifier
1811039159
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTER FOR REHABILITATION & DEVELOPMENT, INC.
Practice address
4515 Brambleton Ave
Roanoke, VA 24018-3436
Phone
(540) 961-1230
Fax
(540) 951-0613
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Jackie P Lemmon
Title
Senior Office Manager
Phone
(540) 961-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4515 Brambleton Ave
Roanoke, VA 24018-3436

Mailing address

4515 Brambleton Ave
Roanoke, VA 24018-3436
Phone (540) 961-1230

Other identifiers 1

IdentifierTypeStateIssuer
191998OtherVAANTHEM

National Provider Directory

National Provider Directory
Tax ID family
Center for Rehab Develop2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1811039159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183436",
            "telephone_number": "540-961-1230",
            "fax_number": "540-951-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183436",
            "telephone_number": "540-961-1230",
            "fax_number": "540-951-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR REHABILITATION & DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR OFFICE MANAGER",
        "authorized_official_telephone_number": "540-961-1230"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "191998",
            "state": "VA"
        }
    ],
    "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 Sep 24, 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.