FULL STRIDE PROVIDERS (NPI# 1215448824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215448824 |
| Entity Type | Organization |
| Organization Name | FULL STRIDE PROVIDERS |
| Practice Address |
1223 Villa Ln Unit F Charlottesville VA 22903-6569 |
| Mailing Address |
513 East Main Street P.o. Box 1695 Charlottesville VA 22902 |
| Practice Telephone | 4345326020 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | JC KOEHN (OWNER) |
| Authorized Official Telephone | 4345326020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1223 VILLA LN UNIT F |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-6569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760039747 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 800 Preston Ave Ste P, Charlottesville, VA 22903-4420 | 2019-08-23 |
| 1154817914 | University of Virginia Physicians Group | Durable Medical Equipment & Medical Supplies | 1490 Pantops Mountain Pl Ste 105, Charlottesville, VA 22911-4601 | 2018-07-05 |
| 1477099778 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1700 Seminole Trl, Charlottesville, VA 22901-5508 | 2017-01-10 |
| 1396193678 | Rbc Enterprises LLC | Durable Medical Equipment & Medical Supplies | 1388 River Brook Ct, Charlottesville, VA 22901-0639 | 2016-05-27 |
| 1639590847 | Albemarle Housing Improvement Program,inc. | Durable Medical Equipment & Medical Supplies | 2127 Berkmar Dr, Charlottesville, VA 22901-1592 | 2013-12-16 |
| 1578902730 | Spire Dme LLC | Durable Medical Equipment & Medical Supplies | 750 Harris St, Suite 104-105, Charlottesville, VA 22903-4500 | 2013-06-21 |
| 1568693083 | My Home for Life | Durable Medical Equipment & Medical Supplies | 1300 Branchlands Dr, Charlottesville, VA 22901-1783 | 2009-07-31 |
| 1942459961 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1417 University Ave # 25, Charlottesville, VA 22903-2606 | 2008-09-15 |
| 1639333594 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3489 Seminole Trail, Charlottesville, VA 22911-5637 | 2008-07-10 |
| 1578685475 | University of Virginia Physicians Group | Durable Medical Equipment & Medical Supplies | 2216 Ivy Rd, Ste 204, Charlottesville, VA 22903-4966 | 2007-04-04 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on FULL STRIDE PROVIDERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.