REBOUND PHYSICAL THERAPY & SPORTS PERFORMANCE LLC (NPI# 1659647014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659647014 |
| Entity Type | Organization |
| Organization Name | REBOUND PHYSICAL THERAPY & SPORTS PERFORMANCE LLC |
| Practice Address |
560 Main Street Chapmanville WV 25508 |
| Mailing Address |
Po Box 945 Chapmanville WV 25508-0945 |
| Practice Telephone | 3043104721 |
| Practice Fax Number | 3043104723 |
| Mailing Telephone | 3043104721 |
| Mailing Fax Number | 3043104723 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | DEREK DALTON (OWNER) |
| Authorized Official Telephone | 3043104721 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT002703 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS | 2697553 | 01 |
| WV | 3810023132 | 05 |
| Street Address |
560 MAIN STREET |
| City | CHAPMANVILLE |
| State | WV |
| Zip Code | 25508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437429198 | Derek Dalton | Physical Therapist | 560 Main Street, Chapmanville, WV 25508 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718853 | Valerie J Collins | Technician | Providence Avenue, Chapmanville, WV 25508 | 2020-10-22 |
| 1386257756 | Anita Gail Johnson | Technician | 908 Godby Branch Road, Chapmanville, WV 25508 | 2020-08-26 |
| 1326659020 | Heather Rose Butcher | Technician | 87 Church Street, Chapmanville, WV 25508 | 2020-08-14 |
| 1861003816 | Sharlene Curnutte | Technician | 3341 Cawley East, Chapmanville, WV 25508 | 2020-08-13 |
| 1649881574 | Dreama Dawn Ball | Technician | 42 Tims Fork Road, Chapmanville, WV 25508 | 2020-08-13 |
| 1003426511 | Farrah Faye Farmer | Technician | 17 Lace Milton Drive, Chapmanville, WV 25508 | 2020-08-10 |
| 1255941878 | Kelly Ann Conley | Technician | 155 Heather Lane, Chapmanville, WV 25508 | 2020-08-07 |
| 1952924292 | Summer Hill | Physical Therapist | 80 Friendly Neighbor Plaza, Chapmanville, WV 25508 | 2020-05-21 |
| 1063053718 | Lyndsay Gore Paugh | Physical Therapist | 80 Friendly Neighbor Plaza Suite E, Chapmanville, WV 25508 | 2019-10-03 |
| 1972156958 | Brianna Williamson | Massage Therapist | 23 Commerce Park, Chapmanville, WV 25508 | 2019-07-19 |
| Find all providers in zip 25508 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366900532 | Caisie Adcock | Physical Medicine & Rehabilitation | 113 Pleasant Valley Rd, Given, WV 25245-8067 | 2019-03-06 |
| 1831708221 | Jason Coleman | Physical Medicine & Rehabilitation | 208 University Dr, West Liberty, WV 26074-1082 | 2020-07-30 |
| 1396378477 | Chandra A. Mccoy | Physical Medicine & Rehabilitation | 1 Plaza Dr, Ravenswood, WV 26164-1718 | 2020-02-18 |
| 1982249694 | Sarah Artzer | Physical Medicine & Rehabilitation | 316 Washington Ave, Wheeling, WV 26003-6243 | 2019-11-18 |
| 1538666284 | Jared Muth | Physical Medicine & Rehabilitation | 1 John Marshall Dr, Huntington, WV 25755-0002 | 2018-04-10 |
| City | CHAPMANVILLE |
| Zip Code | 25508 |
Please comment or provide details below to improve the information on REBOUND PHYSICAL THERAPY & SPORTS PERFORMANCE LLC.
| 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.