Organization Active NPI

Ridge Injury & Neuro Rehab, LLC

  • Physical Therapy Clinic/Center
  • Roanoke, VA
National Provider Identifier
1952269193
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RIDGE INJURY & NEURO REHAB, LLC
Practice address
6405 Merriman Rd Ste 103
Roanoke, VA 24018-6600
Phone
(540) 204-4066
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Mr. Garrett Charles Van Nutt, DPTNPI 1790344844
Title
Owner
Phone
(276) 618-0854

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 Primary

Addresses

Primary practice location

6405 Merriman Rd Ste 103
Roanoke, VA 24018-6600

Mailing address

6405 Merriman Rd Ste 103
Roanoke, VA 24018-6600
Phone (540) 204-4066

National Provider Directory

National Provider Directory

Locations

6405 Merriman Rd
Ste 103
Roanoke, VA 24018
Phone (540) 204-4066

Practitioners & affiliated clinicians

Practitioners 1

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": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1952269193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 MERRIMAN RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186600",
            "telephone_number": "540-204-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MERRIMAN RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186600",
            "telephone_number": "540-204-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE INJURY & NEURO REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "VAN NUTT",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-618-0854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.