PROACTIVE THERAPY OF VIRGINIA, INC. (NPI# 1992705545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992705545 |
Entity Type | Organization |
Organization Name | PROACTIVE THERAPY OF VIRGINIA, INC. |
Other Organization Name | NOVACARE OUTPATIENT REHABILITATION |
Practice Address |
2426 Lee Hwy Suite 102 Bristol VA 24202-5967 |
Mailing Address |
4716 Old Gettysburg Rd Legal Departmen Mechanicsburg PA 17055-4325 |
Practice Telephone | 2766450311 |
Practice Fax Number | 2766450302 |
Mailing Telephone | 7179721139 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179721139 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
NovaCare Outpatient Rehabilitation | Doing Business As Name - Organization |
Street Address |
2426 LEE HWY SUITE 102 |
City | BRISTOL |
State | VA |
Zip Code | 24202-5967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861490385 | Sonya Kaye Martin | Dentist | 2426 Lee Hwy, Suite 110, Bristol, VA 24202-5967 | 2005-07-08 |
1477831485 | Sonya K. Martin Dds LLC | Dentist | 2426 Lee Hwy, Suite 110, Bristol, VA 24202-5967 | 2011-07-25 |
1942593603 | George Oliver Halstead | Family Medicine | 2426 Lee Hwy, Bristol, VA 24202-5967 | 2011-05-26 |
1851538516 | James Steven Patterson | Social Worker | 2426 Lee Hwy, Suite 200, Bristol, VA 24202-5967 | 2009-01-16 |
1467601922 | Mountain Home Vamc | Clinic/Center | 2426 Lee Hwy, Bristol, VA 24202-5967 | 2008-09-09 |
1194877761 | Bristol Therapy Services LLC | Physical Therapist | 2426 Lee Hwy, Suite 210, Bristol, VA 24202-5967 | 2007-01-17 |
1487741054 | Brady Lynn Carter | Physical Therapist | 2426 Lee Hwy, Suite 210, Bristol, VA 24202-5967 | 2006-10-06 |
1285660944 | Terry L Forrest | Specialist | 2426 Lee Hwy, Suite 100, Bristol, VA 24202-5967 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
Find all providers in zip 24202 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
1841699204 | Synergy In Motion, LLC | Clinic/Center | 28 North Street, Suite C, Bristol, VT 05443-1047 | 2014-08-21 |
1790881415 | Function Better Therapy Services | Clinic/Center | 136 Bristol East Rd, Bristol, VA 24202-5500 | 2006-09-16 |
1093345811 | Clark Physical Therapy & Bodywork, Plc | Clinic/Center | 614 Monkton Rd, Bristol, VT 05443-5392 | 2020-01-21 |
1891183018 | Select Physical Therapy | Clinic/Center | 255 N Main St, Bristol, CT 06010-4972 | 2014-12-23 |
1164824983 | Agilitas Usa, Inc | Clinic/Center | 320 Bristol West Blvd, Suite 2a, Bristol, TN 37620-8772 | 2014-09-24 |
1730450263 | Arc Therapy Services LLC | Clinic/Center | 1 Liberty Pl, Bristol, VA 24201-2360 | 2012-01-13 |
1922171537 | Physical Therapy and Massage of Ct, LLC | Clinic/Center | 1001 Farmington Ave, Suite 102, Bristol, CT 06010-3990 | 2006-11-15 |
1821196148 | Appalachian Orthopaedic Associates PC | Clinic/Center | 105 Meadowview Rd, Ste 4, Bristol, TN 37620-1725 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871194332 | The Royalty Treatment LLC | Clinic/Center | 14413 Huntgate Woods Rd, Midlothian, VA 23112-4362 | 2020-11-02 |
1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
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.