National Provider Identifier Database

PROFESSIONAL THERAPIES OF ROANOKE INC
Rehabilitation


Contact Information

PROFESSIONAL THERAPIES OF ROANOKE, INC.
1995 SOUTH MAIN STREET
SUITE 801
BLACKSBURG, VA24060
Phone: 540-951-2703
Fax: 540-953-0873
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL THERAPIES OF ROANOKE, INC.

NPI Number 1336215367
Legal business name
LBN
PROFESSIONAL THERAPIES OF ROANOKE, INC.
Authorized official BRAD ROUSH - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 12/04/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Other: 192427 ANTHEM BCBS
  • VA Other: 29043 SOUTHERN HEALTH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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