=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215951843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BUCHANAN THERAPY SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2006
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1103 H PLAZA DRIVE
-----------------------------------------------------
City | GRUNDY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-935-5525
-----------------------------------------------------
Fax | 276-935-5523
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1103 PLAZA DR STE H
-----------------------------------------------------
City | GRUNDY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24614-6625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-935-5525
-----------------------------------------------------
Fax | 276-935-5523
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/PHYSICAL THERAPIST
-----------------------------------------------------
Name | MRS. CHRISTIE SHANTELL YATES PLYMAL
-----------------------------------------------------
Credential | MPT, ATC, EMT
-----------------------------------------------------
Telephone | 276-935-5525
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 261QP2000X
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------