NPIMap

Organization Active NPI

Martinsville Physical Therapy & Industrial Rehabilitation Inc

  • Physical Therapist
  • Martinsville, VA
National Provider Identifier
1992766315
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23005523 Issued in VA
Legal business name
MARTINSVILLE PHYSICAL THERAPY & INDUSTRIAL REHABILITATION INC
Practice address
812 E. Church Street
Martinsville, VA 24112
Phone
(276) 638-4809
Fax
(276) 638-5139
NPI assigned
Mar 28, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005523 VA
Physical Therapist 225100000X 23005523 VA Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

812 E. Church Street
Martinsville, VA 24112

Mailing address

PO Box 4018
Danville, VA 24540
Phone (434) 836-4158

Other identifiers 1

IdentifierTypeStateIssuer
004978790MedicaidVA

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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1992766315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4018",
            "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 E. 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 & INDUSTRIAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "MATHENA",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "DIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-836-4158"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005523",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "23005523",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "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 25, 2012; 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.