BLUE RIDGE PHYSICAL THERAPY, INC. (NPI# 1841379914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841379914 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE PHYSICAL THERAPY, INC. |
| Practice Address |
3915 Bristol Hwy Suite 301 Johnson City TN 37601-1400 |
| Practice Telephone | 4232620020 |
| Practice Fax Number | 4232620057 |
| Mailing Telephone | 4232620020 |
| Mailing Fax Number | 4232620057 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KIMBERLY A. CONTRYMAN (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 4232620020 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2422 | TN | Ambulatory Health Care Facilities |
| Street Address |
3915 BRISTOL HWY SUITE 301 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143833 | Kimberly A. Costello | Physical Therapist | 3915 Bristol Hwy, Ste 301, Johnson City, TN 37601-1403 | 2005-06-13 |
| 1801193172 | Rachel Marie Hinkle | Marriage & Family Therapist | 3915 Bristol Hwy, Suite 100, Johnson City, TN 37601-1400 | 2011-02-22 |
| 1275866493 | Christina Gentile | Social Worker | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2009-09-08 |
| 1174765820 | Sharon D Baines | Massage Therapist | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1400 | 2009-03-27 |
| 1902048739 | Pamela J White | Physical Therapist | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1400 | 2009-03-25 |
| 1962655993 | Julie Warden | Counselor | 3915 Bristol Hwy, Johnson City, TN 37604 | 2008-11-04 |
| 1093998213 | Youth Villages | Community/Behavioral Health | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-12-11 |
| 1003034349 | Vicki Marie Britton | Counselor | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-04-23 |
| 1427276179 | Cori Michelle Lazarus | Counselor | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-04-20 |
| 1528283546 | Frances Alecia Lee | Physical Therapist | 3915 Bristol Hwy, Ste. 301, Johnson City, TN 37601-1400 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275097867 | Thriverx | Clinic/Center | 152 Gray Station Rd Apt 6, Johnson City, TN 37615-2595 | 2019-01-28 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1598940793 | Medical Education Assistance Corporation | Clinic/Center | Etsu Mini-dome, John Robert Bell Drive, Johnson City, TN 37614-1700 | 2008-01-07 |
| 1033574397 | Agilitas Usa, Inc | Clinic/Center | 2312 Knob Creek Rd, Suite 200, Johnson City, TN 37604-2367 | 2015-12-30 |
| 1508296112 | Agilitas Usa, Inc. | Clinic/Center | 2312 Knob Creek Rd Ste 200, Johnson City, TN 37604-2367 | 2013-11-18 |
| 1487605572 | Broome Orthopedic & Sport Physical Therapy | Clinic/Center | 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on BLUE RIDGE PHYSICAL THERAPY, INC..
| 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.