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NPI Code Detail

MEDICARE: THE CHARLESTON CENTER, INC

MEDICARE: THE CHARLESTON CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3252Y00000XEarly Intervention Provider Agency
4261QP2000XPhysical Therapy Clinic/Center
5261QR0400XRehabilitation Clinic/CenterN/A

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1250964OTHERVASOUTHERN HEALTH
2191481OTHERVAANTHEM SLP
3191482OTHERVAANTHEM OT
4276503OTHERVAANTHEM PT
54980671OTHERVAVIRGINIA PREMIER
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
741486OTHERVAOPTIMA

General Provider Information

NPI Number : 1427150630
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CHARLESTON CENTER, INC
Provider Business Mailing Address
First Line : 3040 BERKMAR DR STE A1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-1593
Country : US
Telephone Number : 434-979-8628
Fax Number : 434-979-8536
Provider Business Practice Location Address
First Line : 3040 BERKMAR DR STE A1
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-1593
Country : US
Telephone Number : 434-979-8628
Fax Number : 434-979-8536
Authorized Official
Title or Position : DIRECTOR
Name : MS. KERRIE LYNN MANTHEY
Credential : M.S., CCC-SLP
Telephone Number : 434-979-8628
Provider Enumeration Date : 09/01/2006
Last Update Date : 08/20/2025

Similar Medicare Providers

1366231938 — JULIA S OLKIN M.S., CCC-SLP
Practice Location Address:
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA
22901-1593
Practice Phone: 434-979-8628
Practice Fax: 434-979-8536
1124089941 — LAURA LAFFOND PT
Practice Location Address:
3040 BERKMAR DR STE A1
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Practice Phone: 434-249-9578
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1508994146 — MRS. KERRIE L MANTHEY M.S., CCC-SLP
Practice Location Address:
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA
22901-1593
Practice Phone: 434-979-8628
Practice Fax: 434-979-8536
1811013253 — MRS. TERESA S ANDREWS PT
Practice Location Address:
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA
22901-1593
Practice Phone: 434-979-8628
Practice Fax: 434-979-8536
1457477838 — MS. THERESA M MCCULLOUGH PT
Practice Location Address:
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA
22901-1593
Practice Phone: 434-979-8628
Practice Fax: 434-979-8536
1376769083 — JESSICA NADIG LOURA PT, DPT
Practice Location Address:
3040 BERKMAR DR STE A1
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22901-1593
Practice Phone: 434-979-8628
Practice Fax:

Directions to “THE CHARLESTON CENTER, INC ” Practice Location

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