FUNCTIONAL FREEDOM REHAB., INC. (NPI# 1710459912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710459912 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL FREEDOM REHAB., INC. |
| Practice Address |
813 Joy Ranch Rd Woodlawn VA 24381-1305 |
| Practice Telephone | 2762333584 |
| Mailing Telephone | 2762333584 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | MS. ANGELA CAROL WORRELL (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 2762333584 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2062 Pattons Mill Ln, Galax, VA 243332397 | ||
| 2062 Pattons Mill Ln, Galax, VA 243332397 | 2762333584 | 2767440071 |
| Street Address |
813 JOY RANCH RD |
| City | WOODLAWN |
| State | VA |
| Zip Code | 24381-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852426 | Angela Carol Worrell | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437500717 | Sarah E Prol | Nurse Practitioner | 5261 Carrollton Pike Ste E, Woodlawn, VA 24381 | 2016-06-28 |
| 1831375146 | Family Preservation Services, Inc | Community/Behavioral Health | Rt. 1 Box 6b, Woodlawn, VA 24381 | 2008-01-16 |
| 1487976072 | Lifetime Eye Care C. Houston Teaters, Od, PC | Optometrist | 2851 Carrollton Pike, Suite A, Woodlawn, VA 24381 | 2010-02-23 |
| 1316271620 | Mark William Fox | Nurse Practitioner | 5261 Carrollton Pike, Suite C, Woodlawn, VA 24381 | 2009-09-21 |
| 1508833286 | Deborah Willis | Internal Medicine | 5261 Carrollton Pike Ste B, Woodlawn, VA 24381-3030 | 2006-03-02 |
| 1972502938 | Kathy L Clarke | Family Medicine | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2005-07-20 |
| 1013347392 | Virginia Hull | Physician Assistant | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-11-22 |
| 1184063315 | Jamie Wood Smith | Nurse Practitioner | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-06-20 |
| 1952648123 | Lisa Dameron | Registered Nurse | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-01-08 |
| 1033461579 | Nancy Ann Marshall | Nurse Practitioner | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2012-10-08 |
| Find all providers in zip 24381 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
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| 1508049255 | King William Physical Therapy | Clinic/Center | 694 Sharon Rd Ste R, Suite R, King William, VA 23086-3640 | 2007-12-17 |
| 1730299447 | Therapy Innovations Inc | Clinic/Center | 389 Kane Street, Gate City, VA 24251 | 2006-08-30 |
| 1134751035 | Wellcare Health LLC | Clinic/Center | 315 Dry Mill Rd Sw, Leesburg, VA 20175-2601 | 2020-02-07 |
| 1053956631 | Thrive Integrative Physical Therapy and Sports Rehab, LLC | Clinic/Center | 251 Commonwealth Ct, Winchester, VA 22602-5347 | 2019-11-07 |
| 1457892143 | Creative Ot Solutions, LLC | Clinic/Center | 6190 Old Franconia Rd Ste A, Alexandria, VA 22310-2593 | 2017-03-14 |
| 1578928982 | Neighborhood Studios, LLC | Clinic/Center | 7601 Little River Tpke, Suite 215, Annandale, VA 22003-2601 | 2015-12-30 |
| 1760797955 | Warren Memorial Hospital | Clinic/Center | 120 N Commerce Ave, Front Royal, VA 22630-2660 | 2010-08-11 |
| 1871648048 | Wilson Workforce and Rehabilitation Center | Clinic/Center | 243 Woodrow Wilson Ave, Fishersville, VA 22939 | 2007-01-25 |
| 1598839391 | Sentara Hospitals | Clinic/Center | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
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| 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.