| Centra Outpatient Rehabilitation Services Llc | |
|
3300 Rivermont Ave, Attn: Centra Outpatient Rehabilitation, Lynchburg, VA 24503-2030 | |
| (434) 200-7600 | |
| (434) 200-1294 |
| Full Name | Centra Outpatient Rehabilitation Services Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3300 Rivermont Ave, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871998120 | NPI | - | NPPES |
| Provider Name | Brandy H Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548279987 PECOS PAC ID: 5698745610 Enrollment ID: I20040728000425 |
| Provider Name | Krista S Leake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275828378 PECOS PAC ID: 0941232722 Enrollment ID: I20050831000851 |
| Provider Name | Melanie C Marks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609885334 PECOS PAC ID: 1355516923 Enrollment ID: I20111209000025 |
| Provider Name | Courtney A Bumgarner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558634972 PECOS PAC ID: 3476787797 Enrollment ID: I20130927000481 |
| Provider Name | Kendall T Travis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174945661 PECOS PAC ID: 9830327881 Enrollment ID: I20140121000064 |
| Provider Name | Maureen Mahland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063709285 PECOS PAC ID: 2264651678 Enrollment ID: I20140917002148 |
| Provider Name | Dana E Lawo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568875896 PECOS PAC ID: 2860611043 Enrollment ID: I20140921000008 |
| Provider Name | Jessica Holder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972898179 PECOS PAC ID: 9032339676 Enrollment ID: I20141003000256 |
| Provider Name | Amanda Anthony |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003101171 PECOS PAC ID: 8527380815 Enrollment ID: I20141121001460 |
| Provider Name | Lynne Vossen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649566175 PECOS PAC ID: 0648594762 Enrollment ID: I20150121000567 |
| Provider Name | Yvonne Staton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497041271 PECOS PAC ID: 9537484910 Enrollment ID: I20150205001090 |
| Provider Name | Rhian Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548649130 PECOS PAC ID: 8921312174 Enrollment ID: I20150731015046 |
| Provider Name | Pradeep Bansal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336399518 PECOS PAC ID: 5597993113 Enrollment ID: I20160321001776 |
| Provider Name | Kathryn R Mendel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821461336 PECOS PAC ID: 6103118732 Enrollment ID: I20160630000268 |
| Provider Name | Lisa Marchand |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740242684 PECOS PAC ID: 8224302443 Enrollment ID: I20170926003254 |
| Provider Name | Valerie H St John |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992767305 PECOS PAC ID: 2264790856 Enrollment ID: I20180104000363 |
| Provider Name | Stephen Russell Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790845618 PECOS PAC ID: 2567591936 Enrollment ID: I20180712002781 |
| Provider Name | Stacy B Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609354331 PECOS PAC ID: 3476806506 Enrollment ID: I20181018003300 |
| Provider Name | Sarah Scruggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508214701 PECOS PAC ID: 9133414360 Enrollment ID: I20190719000826 |
| Provider Name | Andrea Blaisdell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215310412 PECOS PAC ID: 7214242957 Enrollment ID: I20190830000377 |
| Provider Name | Shelby Midkiff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326693789 PECOS PAC ID: 6305177833 Enrollment ID: I20191014002199 |
| Provider Name | Jamie Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053938712 PECOS PAC ID: 4385067198 Enrollment ID: I20200713002949 |
| Provider Name | Linda Blocksom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568039055 PECOS PAC ID: 0244630952 Enrollment ID: I20210617001760 |
| Provider Name | Elizabeth Katherine Wehr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720648389 PECOS PAC ID: 5698004125 Enrollment ID: I20210811000133 |
| Provider Name | Jenna Humphrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780179291 PECOS PAC ID: 7517363351 Enrollment ID: I20210902002318 |
| Provider Name | Catherine Elizabeth Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740854314 PECOS PAC ID: 1254739048 Enrollment ID: I20211008000656 |
| Provider Name | Karen Ann Wise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326703398 PECOS PAC ID: 0941691265 Enrollment ID: I20211221002331 |
| Provider Name | Jeremiah Blankenship |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780996686 PECOS PAC ID: 8729276381 Enrollment ID: I20220302000346 |
| Provider Name | Caleb Joshua Root |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538892997 PECOS PAC ID: 4880076520 Enrollment ID: I20220728000339 |
| Provider Name | Charles Gunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487378873 PECOS PAC ID: 8325415318 Enrollment ID: I20221103002711 |
| Provider Name | Erika Nicole Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336693548 PECOS PAC ID: 5294023214 Enrollment ID: I20221220001136 |
| Provider Name | Kiley Thompson Cardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912601253 PECOS PAC ID: 1254798200 Enrollment ID: I20230606002354 |
| Provider Name | Mahalea Scicchitano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497492698 PECOS PAC ID: 5294192951 Enrollment ID: I20230612001425 |
| Provider Name | Mody Raon Palaganas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215223599 PECOS PAC ID: 3476717711 Enrollment ID: I20230615002976 |
| Provider Name | Patricia Charleen Sawchuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366196974 PECOS PAC ID: 2163804964 Enrollment ID: I20231121000064 |
| Provider Name | Megan Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578328167 PECOS PAC ID: 6002251477 Enrollment ID: I20240226003188 |
| Provider Name | Kenneth Allan Juras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306528468 PECOS PAC ID: 3173968971 Enrollment ID: I20240304000716 |
| Provider Name | Kelly S Griffin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548543663 PECOS PAC ID: 0042659922 Enrollment ID: I20240412000292 |
| Provider Name | Carissa Strum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740964089 PECOS PAC ID: 5193265304 Enrollment ID: I20240913001637 |
| Provider Name | Mary A Petrie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477872539 PECOS PAC ID: 0345763975 Enrollment ID: I20250325000908 |
| Provider Name | Matthew Lee Painter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154137404 PECOS PAC ID: 7113442005 Enrollment ID: I20250423002770 |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Outpatient Rehabilitation Services Llc 3300 Rivermont Ave, Attn: Centra Outpatient Rehabilitation, Lynchburg, VA 24503-2030 Ph: (434) 200-7600 | Centra Outpatient Rehabilitation Services Llc 3300 Rivermont Ave, Attn: Centra Outpatient Rehabilitation, Lynchburg, VA 24503-2030 Ph: (434) 200-7600 |
Mrs. Mona Fazzina, PT,DPT,GCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Clifton St, Lynchburg, VA 24501 Phone: 434-845-9053 | |
Kelsey T Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4668 | |
Laura Souers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 V E S Rd, Lynchburg, VA 24503 Phone: 434-386-3500 | |
Hope Johnson Trent, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd # B, Lynchburg, VA 24502 Phone: 434-237-6812 Fax: 434-509-1695 | |
Joseph Spagnolo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd Ste B, Lynchburg, VA 24502 Phone: 434-845-9053 Fax: 434-528-2788 | |
Ashley Erin Hoath, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8500 Fax: 434-485-8599 | |
David Puskas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8517 Fax: 434-485-8594 |