Organization Active NPI

Physical & Occupational Therapy Services Inc.

  • Orthopedic Physical Therapist
  • Abingdon, VA
National Provider Identifier
1891806949
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305202418 Issued in VA
Legal business name
PHYSICAL & OCCUPATIONAL THERAPY SERVICES INC.
Practice address
432 E Main St Ste a-1
Abingdon, VA 24210-3488
Phone
(276) 608-4468
Fax
(276) 240-1010
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Dr. Mark Allan Oliver, DPTNPI 1710185301
Title
Owner
Phone
(276) 608-4468

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 002567 WV
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 2305202418 VA Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 050102053 VA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

432 E Main St Ste a-1
Abingdon, VA 24210-3488

Mailing address

432 E Main St Ste a-1
Abingdon, VA 24210-3488
Phone (276) 608-4468

Other identifiers 4

IdentifierTypeStateIssuer
0159770000MedicaidWV
0156094000MedicaidWV
054378OtherANTHEM BCBS
036077OtherANTHEM BCBS

Other names 1

  • Pro 1 Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150729008228 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557423688 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Locations

432 W Main St
Ste A1
Abingdon, VA 24210

432 E Main St
Ste A-1
Abingdon, VA 24210
Phone (276) 608-4468

111B Saunders Ln
Bluefield, VA 24605
Phone (276) 326-3611

15 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 322-1992

111 Saunders Ln
#B
Bluefield, VA 24605

Practitioners & affiliated clinicians

Practitioners 6

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1891806949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E MAIN ST STE A-1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103488",
            "telephone_number": "276-608-4468",
            "fax_number": "276-240-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E MAIN ST STE A-1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103488",
            "telephone_number": "276-608-4468",
            "fax_number": "276-240-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL & OCCUPATIONAL THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-608-4468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "WV",
            "license": "002567",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305202418",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "050102053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159770000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156094000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "054378",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "036077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro 1 Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.