CENTRA HEALTH INC (NPI# 1144327537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144327537 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH INC |
| Other Organization Name | PHYSICAL AND OCCUPATIONAL THERAPY |
| Practice Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Mailing Address |
Po Box 2496 Lynchburg VA 24505-2496 |
| Practice Telephone | 4349473777 |
| Practice Fax Number | 4349474763 |
| Mailing Telephone | 4349473777 |
| Mailing Fax Number | 4349474763 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEWIS C ADDISON (SRVP/CFO) |
| Authorized Official Telephone | 4349474708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | H1911 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 189964 | 01 |
| VA | ANTHEM | 189995 | 01 |
| VA | ANTHEM | 189975 | 01 |
| VA | ANTHEM | 189955 | 01 |
| Other Name | Type Code |
|---|---|
| Physical and Occupational Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1114021326 | Centra Health Inc | Rehabilitation, Substance Use Disorder Unit | 3300 Rivermont Avenue, Lynchburg, VA 24505 | 2006-09-08 |
| 1205357506 | Centra Health Inc | Internal Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2017-06-28 |
| 1578738225 | Centra Health Inc | Durable Medical Equipment & Medical Supplies | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2008-04-24 |
| 1366635328 | Centra Health Inc | Ambulance | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1669591178 | Centra Health Inc | Skilled Nursing Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-03-28 |
| 1659414787 | Centra Health Inc | Clinic/Center | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
| Street Address |
1204 FENWICK DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1851492599 | Centra Health Inc | Speech-Language Pathologist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664010 | Elizabeth Mary Harvey | Occupational Therapist | 1400 Enterprise Dr, Lynchburg, VA 24502-5768 | 2019-05-14 |
| 1871090613 | Jamie S Moss | Occupational Therapist | 2401 High St, Lynchburg, VA 24504-4824 | 2018-04-09 |
| 1275921918 | Kara Read | Occupational Therapist | 189 Monica Blvd, Lynchburg, VA 24502-2213 | 2015-01-05 |
| 1205243540 | Joanna Jensen | Occupational Therapist | 2205 Yorktown Ave Apt B2, Lynchburg, VA 24501-2186 | 2014-07-18 |
| 1053728626 | Rachel Ewers | Occupational Therapist | 4657 Alabama Ave, Lynchburg, VA 24502-1107 | 2014-07-16 |
| 1306117734 | Theresa Cocker | Occupational Therapist | 401 Monticello Ave, Lynchburg, VA 24501-5617 | 2012-01-17 |
| 1295967479 | Beth Anne Jamerson | Occupational Therapist | 1620 Laxton Rd, Lynchburg, VA 24502-2522 | 2009-08-20 |
| 1962696070 | Sarah Kennedy | Occupational Therapist | 200 Lillian Ln, Lynchburg, VA 24502-4378 | 2007-08-31 |
| 1487844684 | Stephanie N Beem | Occupational Therapist | 18 Sedgebrook Ct Apt 305, Lynchburg, VA 24502-7347 | 2007-07-25 |
| 1396957833 | James Neubaum | Occupational Therapist | 201 Lillian Lane, Lynchburg, VA 24502 | 2007-05-04 |
| Find all providers in LYNCHBURG | ||||
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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.