PROFESSIONAL THERAPIES OF ROANOKE, INC.; NPI #1336215367

Contact Information

PROFESSIONAL THERAPIES OF ROANOKE, INC.

1995 SOUTH MAIN STREET
SUITE 801
BLACKSBURG, VA 24060

Phone: 540-951-2703
Fax: 540-953-0873
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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

NPI # 1336215367

LBN Legal business name PROFESSIONAL THERAPIES OF ROANOKE, INC.

Authorized official BRAD ROUSH - (EXECUTIVE VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 12/04/2019 - About 7 years ago

Identifiers

VA	Other	192427	ANTHEM BCBS
VA	Other	29043	SOUTHERN HEALTH

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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