NPIMap

Organization Active NPI

Shenandoah Memorial Hospital

  • Physical Therapy Clinic/Center
  • Mount Jackson, VA
National Provider Identifier
1982805230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
H1900 Issued in VA
Legal business name
SHENANDOAH MEMORIAL HOSPITAL
Practice address
5173 Main St
Mount Jackson, VA 22842-9513
Phone
(540) 477-4004
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Virginia Kilmer
Title
Cfo
Phone
(540) 459-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X H1900 VA Primary

Addresses

Primary practice location

5173 Main St
Mount Jackson, VA 22842-9513

Mailing address

759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1120

Other names 1

  • Shenandoah Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shenandoah Cty Mem Hospcna16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982805230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1120",
            "fax_number": "540-459-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5173 MAIN ST",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429513",
            "telephone_number": "540-477-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILMER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-459-1120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "H1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Jackson, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.