LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC (NPI# 1619947678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619947678 |
| Entity Type | Organization |
| Organization Name | LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC |
| Practice Address |
272 Highland Drive Lebanon VA 24266-4623 |
| Mailing Address |
272 Highland Drive P.o. Box 1387 Lebanon VA 24266-4623 |
| Practice Telephone | 2768894090 |
| Practice Fax Number | 2768894026 |
| Mailing Telephone | 2768894090 |
| Mailing Fax Number | 2768894026 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | MRS. JUDITH EASTERLY LOCKRIDGE (OWNER PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2768894090 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305002098 | VA | Ambulatory Health Care Facilities |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
2305002098 | VA | Ambulatory Health Care Facilities |
| Street Address |
272 HIGHLAND DRIVE |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018986 | Samuel Smith | Physical Therapist | 272 Highland Drive, Lebanon, VA 24266 | 2020-09-16 |
| 1861520538 | Judith Easterly Lockridge | Physical Therapist | 272 Highland Drive, Lebanon, VA 24266 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902280183 | Integrity Rehabilitation Group | Clinic/Center | 1029 W Main St, Lebanon, TN 37087-3351 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326620 | Cadence Rehabilitation LLC | Clinic/Center | 8315 Lee Hwy Ste 202, Fairfax, VA 22031-2215 | 2017-10-10 |
| 1508049255 | King William Physical Therapy | Clinic/Center | 694 Sharon Rd Ste R, Suite R, King William, VA 23086-3640 | 2007-12-17 |
| 1730299447 | Therapy Innovations Inc | Clinic/Center | 389 Kane Street, Gate City, VA 24251 | 2006-08-30 |
| 1134751035 | Wellcare Health LLC | Clinic/Center | 315 Dry Mill Rd Sw, Leesburg, VA 20175-2601 | 2020-02-07 |
| 1053956631 | Thrive Integrative Physical Therapy and Sports Rehab, LLC | Clinic/Center | 251 Commonwealth Ct, Winchester, VA 22602-5347 | 2019-11-07 |
| 1457892143 | Creative Ot Solutions, LLC | Clinic/Center | 6190 Old Franconia Rd Ste A, Alexandria, VA 22310-2593 | 2017-03-14 |
| 1578928982 | Neighborhood Studios, LLC | Clinic/Center | 7601 Little River Tpke, Suite 215, Annandale, VA 22003-2601 | 2015-12-30 |
| 1760797955 | Warren Memorial Hospital | Clinic/Center | 120 N Commerce Ave, Front Royal, VA 22630-2660 | 2010-08-11 |
| 1871648048 | Wilson Workforce and Rehabilitation Center | Clinic/Center | 243 Woodrow Wilson Ave, Fishersville, VA 22939 | 2007-01-25 |
| 1598839391 | Sentara Hospitals | Clinic/Center | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC.
| 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.