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Contact Information

BLUE MOUNTAIN THERAPY, LLC
17507 LEE HWY
ABINGDON, VA24210-7835
 Phone: 276-525-6043
 Fax: 888-233-7885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Day Training, Developmentally Disabled Services

251C00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Social Worker

104100000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN THERAPY, LLC

NPI Number 1760818595
LBN Legal business name BLUE MOUNTAIN THERAPY, LLC
Authorized official JOSEPH WADDELL - (ADMINISTRATION)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2013
Last updated 06/16/2022 - About 4 years ago
Identifiers
VA Medicaid 1760818595
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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