Healthcare Provider Details

I. General information

NPI: 1982890141
Provider Name (Legal Business Name): REHABILITATION ASSOCIATES OF CENTRAL VIRGINIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311B TIMBERLAKE RD
LYNCHBURG VA
24502-7203
US

IV. Provider business mailing address

1948 THOMSON DR
LYNCHBURG VA
24501-1009
US

V. Phone/Fax

Practice location:
  • Phone: 434-237-6812
  • Fax: 434-237-6814
Mailing address:
  • Phone: 434-845-9053
  • Fax: 434-528-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number2305006068
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number2305006068
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2305006068
License Number StateVA

VIII. Authorized Official

Name: JOSHUA BAILEY
Title or Position: OWNER/PRESIDENT
Credential: DPT
Phone: 434-237-6812