REHABILITATION HOSPITAL OF BRISTOL, LLC (NPI# 1114251972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114251972 |
| Entity Type | Organization |
| Organization Name | REHABILITATION HOSPITAL OF BRISTOL, LLC |
| Other Organization Name | THE REHABILITATION HOSPITAL OF SOUTHWEST VIRGINIA |
| Practice Address |
103 North St Bristol VA 24201-3201 |
| Mailing Address |
9001 Liberty Pkwy Birmingham AL 35242-7509 |
| Practice Telephone | 2766427901 |
| Practice Fax Number | 2766428090 |
| Mailing Telephone | 2059677116 |
| Mailing Fax Number | 2059696650 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | ROBERT M. WISNER (VICE PRESIDENT) |
| Authorized Official Telephone | 2059677116 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Rehabilitation Hospital of Bristol, a JV of Ballad Health and Encompass Health | Doing Business As Name - Organization |
| The Rehabilitation Hospital of Southwest Virginia | Doing Business As Name - Organization |
| Street Address |
103 NORTH ST |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164493037 | Teresa A Roatsey | Nurse Practitioner | 103 North St, Bristol, VA 24201-3201 | 2006-01-30 |
| 1265904296 | Alicia Nicole Boyd | Nurse Practitioner | 103 North St, Bristol, VA 24201-3201 | 2019-01-02 |
| 1548700362 | Mesa Smith | Occupational Therapist | 103 North St, Bristol, VA 24201-3201 | 2017-02-27 |
| 1659780047 | East Coast Pm&r Consultants Pllc | Physical Medicine & Rehabilitation | 103 North St, Bristol, VA 24201 | 2014-08-11 |
| 1003230475 | Lauren Ashley Fullen | Speech-Language Pathologist | 103 North St, Bristol, VA 24201-3201 | 2014-02-06 |
| 1316187974 | April E Akers | Case Manager/Care Coordinator | 103 North St, Bristol, VA 24201-3201 | 2009-02-23 |
| 1881716546 | Ada Maria Hernandez | Case Manager/Care Coordinator | 103 North St, Bristol, VA 24201-3201 | 2007-04-04 |
| 1306966486 | Melissa Gent Cox | Social Worker | 103 North St, Bristol, VA 24201-3201 | 2007-03-30 |
| 1891703815 | Tonya Renee Coleman | Speech-Language Pathologist | 103 North St, Suite B Bristol Regional Speech & Hearing Center, Bristol, VA 24201-3201 | 2006-08-04 |
| 1174531180 | Samantha Ratliff Wampler | Speech-Language Pathologist | 103 North St, Suite B Bristol Regional Speech & Hearing Center, Bristol, VA 24201-3201 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376106575 | Rehab Jv LLC | Rehabilitation Hospital | 2000 Wilkes Ridge Dr, Richmond, VA 23233-7632 | 2019-04-15 |
| 1114453891 | Shweta Mankar | Rehabilitation Hospital | 5388 Twin Hickory Rd, Glen Allen, VA 23059-5682 | 2017-05-02 |
| 1124489562 | Michael Defosse | Rehabilitation Hospital | 1011 Arlington Blvd Apt 1031, Suite 1031, Arlington, VA 22209-2210 | 2016-03-13 |
| 1649414269 | Genesis Healthcare | Rehabilitation Hospital | 113 Atwell Lane, Hampton, VA 23669 | 2009-04-27 |
| 1316103088 | Veterans Affairs Medical Center | Rehabilitation Hospital | 14506 Highgate Hill Ct, Chesterfield, VA 23832-2457 | 2008-08-01 |
| 1154407922 | Encompass Health Rehabilitation Hospital of Petersburg, LLC | Rehabilitation Hospital | 95 Pinehill Blvd, Petersburg, VA 23805 | 2006-10-27 |
| 1245203942 | Rehabilitation Hospital Corporation of America LLC | Rehabilitation Hospital | 5700 Fitzhugh Ave, Richmond, VA 23226 | 2006-02-12 |
| 1780660233 | Carilion Medical Center | Rehabilitation Hospital | 101 Elm Ave Se Fl 7, Roanoke, VA 24013-2222 | 2005-12-16 |
| 1215462775 | Coastal Virginia Rehabilitation, LLC | Rehabilitation Hospital | 245 Chesapeake Ave, Newport News, VA 23607-6038 | 2017-04-21 |
| 1033663786 | Henrico Doctors Hospital | Rehabilitation Hospital | 7650 E Parham Rd, 120, Richmond, VA 23294-4373 | 2016-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.