NPIMap

Organization Active NPI

Bayside Rehabilitation

  • Physical Therapy Clinic/Center
  • Belle Haven, VA
National Provider Identifier
1891748638
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2305204132 Issued in VA
Legal business name
BAYSIDE REHABILITATION
Practice address
15405 Merry Cat Lane
Belle Haven, VA 23306
Phone
(757) 442-5222
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Scott StonestreetNPI 1568670057
Title
Vice President
Phone
(757) 442-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2305204132 VA Primary

Addresses

Primary practice location

15405 Merry Cat Lane
Belle Haven, VA 23306

Mailing address

PO Box 149
Belle Haven, VA 23306-0149
Phone (757) 442-5222

Other names 1

  • Bayside Rehabilitation, Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060412000345 VA Part B Supplier - Clinic/Group Practice 1355350711 Receives reassigned benefits from 7 practitioners
Practice locations: Onley, VA; Oak Hall, VA; Cape Charles, VA; Belle Haven, VA

National Provider Directory

National Provider Directory
Tax ID family
Bayside Rehabilitation2 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.

Locations

21299 Lankford Hwy
Cape Charles, VA 23310

21229 Lankford Hwy
Cape Charles, VA 23310
Phone (757) 331-1102

7007 Lankford Hwy
Oak Hall, VA 23416
Phone (757) 702-2180

23610 North St
Onancock, VA 23417
Phone (757) 622-2395

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1891748638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "233060149",
            "telephone_number": "757-442-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 MERRY CAT LANE",
            "city": "BELLE HAVEN",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "757-442-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "STONESTREET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-442-5222"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305204132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Rehabilitation, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belle Haven, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.