SOUTH RIVER REHABILITATION AND PERFORMANCE (NPI# 1548828205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548828205 |
| Entity Type | Organization |
| Organization Name | SOUTH RIVER REHABILITATION AND PERFORMANCE |
| Practice Address |
38 Ebco Cir Waynesboro VA 22980-7344 |
| Practice Telephone | 5404900308 |
| Practice Fax Number | 5404517064 |
| Mailing Telephone | 5404900308 |
| Mailing Fax Number | 5404517064 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JUSTIN THOMAS DIMITT (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5404900308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1407142482 | 01 |
| Street Address |
38 EBCO CIR |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-7344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396942132 | Dustin Keith Mcgann | Physical Therapist | 38 Ebco Cir, Waynesboro, VA 22980-7344 | 2007-06-27 |
| 1326662289 | Ryan Taylor | Physical Therapist | 38 Ebco Cir, Waynesboro, VA 22980-7344 | 2020-06-05 |
| 1407142482 | Justin Thomas Dimitt | Physical Therapist | 38 Ebco Cir, Waynesboro, VA 22980-7344 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662289 | Ryan Taylor | Physical Therapist | 38 Ebco Cir, Waynesboro, VA 22980-7344 | 2020-06-05 |
| 1053890236 | Joseph William Wood Jr. | Physical Therapist | 30 Ebco Cir, Waynesboro, VA 22980-7374 | 2018-08-09 |
| 1528419520 | Devon Barnes | Physical Therapist | 118 Walnut St, Suite #114, Waynesboro, PA 17268-1669 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122717 | Art of Motion Physical Therapy LLC | Physical Therapist | 161 Fort Evans Rd Ne Ste 103, Leesburg, VA 20176-3369 | 2020-10-24 |
| 1982242491 | Derek Roy Finn | Physical Therapist | 2865 Lynnhaven Dr Ste C3, Virginia Beach, VA 23451-1544 | 2019-12-16 |
| 1235773771 | Anne Wuhrer | Physical Therapist | 8001 Braddock Rd Ste 100, Springfield, VA 22151-2110 | 2019-10-28 |
| 1134779077 | Adams Performance Physical Therapy, Inc. | Physical Therapist | 3004 Impala Pl, Henrico, VA 23228-4206 | 2019-09-12 |
| 1710454475 | Performance Healthcare, P.C. | Physical Therapist | 3603 Brambleton Ave Ste A, Roanoke, VA 24018-3600 | 2018-10-30 |
| 1720563216 | Aoife Bourke | Physical Therapist | 12203 Leims Dr, Quantico, VA 22134-2088 | 2018-10-01 |
| 1144701954 | Taylor Blattenberger | Physical Therapist | 24585 Stone Carver Dr # 275, Aldie, VA 20105-2798 | 2018-08-29 |
| 1477034577 | Erica Wharton Osimani | Physical Therapist | 1340 Gaskins Rd, Henrico, VA 23238-4919 | 2018-08-27 |
| 1124514351 | Matthew James Hillsinger | Physical Therapist | 410 S Maple Ave # 100, Falls Church, VA 22046-4246 | 2018-07-11 |
| 1285127365 | Cody Michael Schellhaas | Physical Therapist | 7400 Beaufont Springs Dr Ste 520, North Chesterfield, VA 23225-5514 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
Please comment or provide details below to improve the information on SOUTH RIVER REHABILITATION AND PERFORMANCE.
| 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.