Provider Demographics
NPI:1023023678
Name:CAWH REHABILITATION SERVICES
Entity Type:Organization
Organization Name:CAWH REHABILITATION SERVICES
Other - Org Name:CAWH PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:NEILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-552-3422
Mailing Address - Street 1:1901 S MAIN ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6600
Mailing Address - Country:US
Mailing Address - Phone:540-552-3422
Mailing Address - Fax:540-552-2296
Practice Address - Street 1:1901 S MAIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6600
Practice Address - Country:US
Practice Address - Phone:540-552-2294
Practice Address - Fax:540-552-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA193615OtherANTHEM
VA193617OtherANTHEM
NCCG1301OtherMEDICARE RAILROAD
VADF0075OtherMEDICARE RAILROAD
NC1649360686OtherNPI BILLING
0007729125OtherAETNA
NC1649360686OtherNPI BILLING
VA193617OtherANTHEM