Healthcare Provider Details

I. General information

NPI: 1699727016
Provider Name (Legal Business Name): REHABILITATION ASSOCIATES OF CENTRAL VIRGINIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20347 TIMBERLAKE RD STE B
LYNCHBURG VA
24502-7203
US

IV. Provider business mailing address

20347 TIMBERLAKE RD STE B
LYNCHBURG VA
24502-7203
US

V. Phone/Fax

Practice location:
  • Phone: 434-845-9054
  • Fax: 434-528-2788
Mailing address:
  • Phone: 434-845-9054
  • Fax: 434-528-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSH A. BAILEY
Title or Position: PRESIDENT AND CEO
Credential: DPT
Phone: 434-845-9053