NPIMap

Organization Active NPI

Martinsville Physical Therapy and Industrial Rehabilitation

  • Physical Therapist
  • Martinsville, VA
National Provider Identifier
1982610333
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARTINSVILLE PHYSICAL THERAPY AND INDUSTRIAL REHABILITATION
Practice address
812 East Church Street
Martinsville, VA 24112
Phone
(276) 638-4809
Fax
(276) 638-5139
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Tommy Mathena
Title
President
Phone
(434) 836-4158

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 2305005523 VA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

812 East Church Street
Martinsville, VA 24112

Mailing address

2140 Franklin Turnpike
Danville, VA 24540
Phone (434) 836-4158

Other identifiers 1

IdentifierTypeStateIssuer
004978790MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030826000011 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5092626465 Practice locations: Martinsville, VA

National Provider Directory

National Provider Directory
Tax ID family
Martinsville Physical Therapy and2 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

2140 Franklin Tpke
Danville, VA 24540
Phone (434) 836-0239

Practitioners & affiliated clinicians

Practitioners 2

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1982610333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 FRANKLIN TURNPIKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-836-4158",
            "fax_number": "434-836-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 EAST CHURCH STREET",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-638-4809",
            "fax_number": "276-638-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE PHYSICAL THERAPY AND INDUSTRIAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MATHENA",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-836-4158"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305005523",
            "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": "004978790",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.