MEDICARE: AMHERST PHYSICAL THERAPY LTD

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
1	225100000X	Physical Therapist		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	318235	OTHER	VA	BLUE CROSS BLUE SHIELD
2	217635	OTHER	VA	BLUE CROSS BLUE SHIELD
3	210448	OTHER	VA	SOUTHERN HEALTH

General Provider Information

NPI Number	:	1447240965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMHERST PHYSICAL THERAPY LTD

Provider Business Mailing Address
First Line	:	PO BOX 720
Second Line	:
City	:	AMHERST
State	:	VA
Zip	:	24521-0720
Country	:	US
Telephone Number	:	434-946-1314
Fax Number	:	434-946-1083

Provider Business Practice Location Address
First Line	:	210 S MAIN ST
Second Line	:
City	:	AMHERST
State	:	VA
Zip	:	24521-2616
Country	:	US
Telephone Number	:	434-946-1314
Fax Number	:	434-946-1083

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CARL MAURICE TORODE
Credential	:	P.T.
Telephone Number	:	434-946-1314

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	08/22/2020

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Directions to “AMHERST PHYSICAL THERAPY LTD ” Practice Location

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