PROFESSIONAL THERAPIES OF ROANOKE, INC. (NPI# 1336215367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336215367 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL THERAPIES OF ROANOKE, INC. |
| Other Organization Name | CORA PHYSICAL THERAPY - BLACKSBURG |
| Practice Address |
1995 South Main Street Suite 801 Blacksburg VA 24060 |
| Mailing Address |
1110 Shawnee Road Lima OH 45805 |
| Practice Telephone | 5409512703 |
| Practice Fax Number | 5409530873 |
| Mailing Telephone | 4192216717 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-12-04 |
| NPI Deactivation Date | 11/08/2019 |
| NPI Reactivation Date | 2019-11-27 |
| Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH | 29043 | 01 |
| VA | ANTHEM BCBS | 192427 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Blacksburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527841 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 4017 College Ave, Bluefield, VA 24605-2043 | 2020-01-07 |
| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1982692323 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2005-10-10 |
| 1891331542 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 1995 S Main St Ste 801, Blacksburg, VA 24060-6637 | 2019-11-18 |
| 1184275935 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 206 6th St, Radford, VA 24141-2408 | 2019-09-24 |
| 1093372781 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 21371 Forsythe Rd, Bristol, VA 24202-4357 | 2019-05-29 |
| Street Address |
1995 SOUTH MAIN STREET SUITE 801 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811139405 | Angela Moore | Physical Therapist | 1995 South Main Street, Suite 801, Blacksburg, VA 24060 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700132743 | Body Balance Spa, LLC | Clinic/Center | 1997 S Main St Ste 604e, Blacksburg, VA 24060-6606 | 2012-07-27 |
| 1891331542 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 1995 S Main St Ste 801, Blacksburg, VA 24060-6637 | 2019-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1710517966 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 8986 Lorton Station Blvd Ste 202, Lorton, VA 22079-4755 | 2020-01-16 |
| 1710527841 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 4017 College Ave, Bluefield, VA 24605-2043 | 2020-01-07 |
| 1497391148 | T2 Fitness | Clinic/Center | 928 Diamond Springs Rd Ste 111, Virginia Beach, VA 23455-6601 | 2019-11-18 |
| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1184281321 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 7508 Iron Bar Ln Ste 7508, Gainesville, VA 20155-2999 | 2019-05-23 |
| 1427522846 | Dmr Team, LLC | Clinic/Center | 10637 Shannon Hill Rd, Louisa, VA 23093-6352 | 2019-01-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.