Provider Demographics
NPI:1407179567
Name:PAYNE REHABILITATION LLC
Entity Type:Organization
Organization Name:PAYNE REHABILITATION LLC
Other - Org Name:HORIZON PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILITHE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIGAN-WEEKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-776-7667
Mailing Address - Street 1:9154 ESTATE THOMAS
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2687
Mailing Address - Country:US
Mailing Address - Phone:340-776-7667
Mailing Address - Fax:340-714-1891
Practice Address - Street 1:9154 ESTATE THOMAS
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2687
Practice Address - Country:US
Practice Address - Phone:340-776-7667
Practice Address - Fax:340-714-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIY69899Medicare PIN