Basic Information
| Provider Information | |||||||||
| NPI: | 1336231687 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RAPID REHABILITATION, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 480 S COMMERCE AVE STE F | ||||||||
| Address2: | |||||||||
| City: | FRONT ROYAL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 226303093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5406363500 | ||||||||
| FaxNumber: | 5406363502 | ||||||||
| Practice Location | |||||||||
| Address1: | 480 S COMMERCE AVE STE F | ||||||||
| Address2: | |||||||||
| City: | FRONT ROYAL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 226303093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5406363500 | ||||||||
| FaxNumber: | 5406363502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 10/24/2011 | ||||||||
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| AuthorizedOfficialLastName: | BARBER | ||||||||
| AuthorizedOfficialFirstName: | SHERISUE | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5406363500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 16040 | 01 | VA | COMMUNITY HEALTH GROUP # | OTHER | 298150 | 01 | VA | MAMSI - SC | OTHER | 388826 | 01 | VA | MAMSI - HD | OTHER | 277958 | 01 | VA | MAMSI - MB | OTHER | 194082 | 01 | VA | BCBS FR # | OTHER | 194083 | 01 | VA | BCBS WI # | OTHER | 150718500 | 01 | VA | DEPT OF LABOR | OTHER | 298154 | 01 | VA | MAMSI - SSB | OTHER | 194085 | 01 | VA | BCBS WS # | OTHER |