Active NPI
Center for Rehabilitation & Development, Inc.
- Speech-Language Pathologist
- Roanoke, VA
National Provider Identifier
1811039159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191998 | Other | VA | ANTHEM |
National Provider Directory
National Provider Directory- Tax ID family
- Center for Rehab Develop
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Roanoke, VA
- NPI 1457493793
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
- Michelle Cenerizio, PMHNP-BC
- Center for Advanced Lipid Management
- Center for Care and Resiliency, PLLC
- Center for Rehabilitation & Development, Inc.
- Center for Rehabilitation & Development, Inc.
- Center for Rehabilitation & Development, Inc.
- Center for Surgical Excellence LLC
- Centerwell Certified Healthcare Corp. (CenterWell Home Health)
- Centra Health, Inc. Community Based Mental Health Programs
- Angelina Ailda Cerimele
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.