Organization Active NPI

Blue Ridge Pelvic Health

  • Rehabilitation Clinic/Center
  • Cave Spring, VA
National Provider Identifier
1922875913
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BLUE RIDGE PELVIC HEALTH
Practice address
4903 Starkey Rd Ste 100B
Cave Spring, VA 24018-8525
Phone
(540) 929-1339
NPI assigned
Dec 8, 2023
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Mrs. Chelsea Ann Liller, MOTR/LNPI 1124324389
Title
Owner
Phone
(540) 314-0647

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4903 Starkey Rd Ste 100B
Cave Spring, VA 24018-8525

Mailing address

4502 Starkey Rd Ste 5
Roanoke, VA 24018-8517
Phone (540) 314-0647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131002344 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274986716 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

4502 Starkey Rd
Ste 5
Roanoke, VA 24018
Phone (540) 929-1339

4903 Starkey Rd
Ste 100B
Roanoke, VA 24018
Phone (540) 929-1339

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1922875913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 STARKEY RD STE 5",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188517",
            "telephone_number": "540-314-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD STE 100B",
            "city": "CAVE SPRING",
            "state": "VA",
            "postal_code": "240188525",
            "telephone_number": "540-929-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PELVIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "LILLER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-314-0647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Spring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.