PROFESSIONAL THERAPIES OF ROANOKE, INC. (NPI# 1982692323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982692323 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL THERAPIES OF ROANOKE, INC. |
| Other Organization Name | CORA PHYSICAL THERAPY - BLACKBURG PEDS |
| Practice Address |
1421 3rd St Sw Roanoke VA 24016-5204 |
| Practice Telephone | 5409822208 |
| Practice Fax Number | 5409827637 |
| Mailing Telephone | 5409822208 |
| Mailing Fax Number | 5409827637 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2019-11-20 |
| 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 | 004978218 | 05 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Blackburg Peds | Doing Business As Name - Organization |
| CORA Physical Therapy - Blacksburg | Doing Business As Name - Organization |
| CORA Physical Therapy - Christiansburg | Doing Business As Name - Organization |
| CORA Physical Therapy - Daleville | Doing Business As Name - Organization |
| CORA Physical Therapy - Daleville Peds | Doing Business As Name - Organization |
| CORA Physical Therapy - Hardy | Doing Business As Name - Organization |
| CORA Physical Therapy - Radford | Doing Business As Name - Organization |
| CORA Physical Therapy - Rocky Mount | Doing Business As Name - Organization |
| CORA Physical Therapy - Vinton | Doing Business As Name - Organization |
| Professional Therapies, Inc. | 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 |
| 1336215367 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 1995 South Main Street, Suite 801, Blacksburg, VA 24060 | 2006-11-28 |
| 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 |
1421 3RD ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148983 | Victoria Thomas | Speech-Language Pathologist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2020-09-09 |
| 1154939197 | Courtney Alissa Pinkard | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2020-07-15 |
| 1083170823 | Nicole Frey | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2019-02-18 |
| 1760959381 | Kelly Marie Athaide | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2018-11-01 |
| 1760973754 | Jacob Dulski | Physical Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2018-05-24 |
| 1568974772 | Anna M. Morales | Occupational Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-10-27 |
| 1851800833 | Kelsey A. Yoder | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-22 |
| 1013435247 | Neelesh N. Shah | Physical Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-08 |
| 1336667419 | Tyler R Kelly | Physical Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-08 |
| 1730606344 | Elizabeth M. Bowen | Speech-Language Pathologist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841615838 | Vtcri Neruomotor Research Clinic | Clinic/Center | 2 Riverside Cir, Roanoke, VA 24016-4950 | 2014-02-27 |
| 1972711398 | Friendship Outpatient & Wellness Services, Inc. | Clinic/Center | 391 Hershberger Rd, Roanoke, VA 24012-1983 | 2007-05-18 |
| 1679524300 | H2 Rehabilitation Services of Virginia, LLC | Clinic/Center | 6515 Williamson Rd, Roanoke, VA 24019-4629 | 2006-05-15 |
| 1033511704 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1009 Old Country Club Rd Nw, C/o Hermitage In Roanoke, Roanoke, VA 24017-2927 | 2014-09-24 |
| 1942253513 | Center for Rehabilitation & Development, Inc. | Clinic/Center | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2006-05-18 |
| 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 | ||||
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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.