NPIMap

Organization Active NPI

Virginia Highlands Orthopaedic Spine Center LLC

  • Orthopedic Physical Therapist
  • Radford, VA
National Provider Identifier
1821148859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0101225439 Issued in VA
Legal business name
VIRGINIA HIGHLANDS ORTHOPAEDIC SPINE CENTER LLC
Practice address
51 W Main St
Radford, VA 24141-1577
Phone
(540) 633-1100
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Allen Grubb, MD
Title
Owner
Phone
(540) 633-0523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 0101225439 VA Primary

Addresses

Primary practice location

51 W Main St
Radford, VA 24141-1577

Mailing address

PO Box 797
304 Davis St
Independence, VA 24348-0797
Phone (276) 773-8145

National Provider Directory

National Provider Directory
Tax ID family
Virginia Highlands Orthopaedic Spine Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

51 W Main St
Radford, VA 24141
Phone (276) 773-8145

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821148859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "address_2": "304 DAVIS ST",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243480797",
            "telephone_number": "276-773-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411577",
            "telephone_number": "540-633-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HIGHLANDS ORTHOPAEDIC SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-633-0523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "0101225439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.