1437324936 NPI number — HEATHER C BATTY PHYSICAL THERAPIST

Table of content: HEATHER C BATTY PHYSICAL THERAPIST (NPI 1437324936)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437324936 NPI number — HEATHER C BATTY PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATTY
Provider First Name:
HEATHER
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437324936
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1403 MILL RACE DRIVE
Provider Second Line Business Mailing Address:
HEARTLAND REHABILITATION SERVICES OF VIRGINIA
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-444-0526
Provider Business Mailing Address Fax Number:
540-444-0531

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6515 WILLIAMSON ROAD
Provider Second Line Business Practice Location Address:
HEARTLAND REHABILITATION SERVICES OF VIRGINIA NORTH ROA
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-366-2243
Provider Business Practice Location Address Fax Number:
540-366-4801
Provider Enumeration Date:
04/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2305202931 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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