| Caleb Joshua Root, | |
|
3300 Rivermont Ave, Lynchburg, VA 24503-2030 | |
| (434) 200-5032 | |
| Not Available |
| Full Name | Caleb Joshua Root |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 3300 Rivermont Ave, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538892997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2204000987 (Virginia) | Primary |
| Provider Name | Centra Outpatient Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871998120 PECOS PAC ID: 4789909987 Enrollment ID: O20150211000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Joshua Root, 3300 Rivermont Ave, Lynchburg, VA 24503-2030 Ph: (434) 200-5032 | Caleb Joshua Root, 3300 Rivermont Ave, Lynchburg, VA 24503-2030 Ph: (434) 200-5032 |
Ms. Frances Lee Phetteplace, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Leroy Bowen Dr, Suite A, Lynchburg, VA 24502 Phone: 434-239-6630 Fax: 434-239-6640 | |
Emily Anne Bourne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 189 Monica Blvd, Lynchburg, VA 24502 Phone: 434-847-2860 | |
Julie Gribble, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1912 Memorial Ave, Lynchburg, VA 24501 Phone: 434-845-8765 | |
Susan M Sisk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 693 Leesville Rd, Lynchburg, VA 24502 Phone: 434-947-5700 | |
Rebecca Fox Schwerdtfeger, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1912 Memorial Ave, Lynchburg, VA 24501 Phone: 434-845-8765 | |
Ethan Burt Navarro, MED CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1912 Memorial Ave, Lynchburg, VA 24501 Phone: 434-845-8765 | |
Kelly Mcdowell Ward, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 915 Court St, Lynchburg, VA 24504 Phone: 434-515-5350 |