Opequon Rehabilitation & Wellness, PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305003951 Issued in VA

Legal business name

OPEQUON REHABILITATION & WELLNESS, PC

Practice address

3107 Valley Ave
Suite 108
Winchester, VA 22601-2675

Phone

(540) 535-2228

Fax

(540) 535-2204

NPI assigned

Nov 9, 2007

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Shelby Sims Jr., PTNPI 1487715637

Title

President

Phone

(540) 535-2228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Shelby Sims Jr., PT

  • Physical Therapist
  • Winchester, VA
  • NPI 1487715637
  NPD (past) Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1841470606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 VALLEY AVE",
            "address_2": "SUITE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012675",
            "telephone_number": "540-535-2228",
            "fax_number": "540-535-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 VALLEY AVE",
            "address_2": "SUITE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012675",
            "telephone_number": "540-535-2228",
            "fax_number": "540-535-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEQUON REHABILITATION & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-535-2228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305003951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C10395",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Oliver
• Thomas Wright Oliver, M.D.
• Kelsey Lynn Olsavsky, PA-C
• Beth Ann Omundsen-Ott, M.D.
• Nkechi Onokwai, MD
• Orchard Family Medicine, PC
• Amy D Orndorff
• Katherine Orndorff
• Mary Orndorff, RN
• Amanda Schools Orsini

• Orthopedic Physical Therapist in Winchester, VA
• Providers in Winchester, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.