Healthcare Provider Details

I. General information

NPI: 1629902630
Provider Name (Legal Business Name): RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

IV. Provider business mailing address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

V. Phone/Fax

Practice location:
  • Phone: 804-438-4000
  • Fax: 804-438-4896
Mailing address:
  • Phone: 804-438-4000
  • Fax: 804-438-4896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN VAUGHN
Title or Position: CFO/CONTROLLER
Credential:
Phone: 804-438-4102