Rebound Physical Therapy & Sports Performance Llc

LBN: Rebound Physical Therapy & Sports Performance Llc
Rebound Physical Therapy & Sports Performance Llc is an health care organization with primary practice located at 560 Main Street , Chapmanville WV 25508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Rebound Physical Therapy & Sports Performance Llc can be contacted via phone (304) 310-4721, or through Dalton, Derek via phone (304) 310-4721.

Contact Information

Primary practice address
560 Main Street Chapmanville WV 25508
Fax: (304) 310-4723
Website:
Authorized official contact:
Name: Dalton, Derek PT, DPT

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PT002703 West Virginia

Profile Details

NPI number 1659647014
LBN Legal business name Rebound Physical Therapy & Sports Performance Llc
DBA Doing business as
Authorized official Dalton, Derek PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Jun 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659647014 NPPES
West Virginia Other 2697553 BCBS
West Virginia MEDICAID 3810023132 BCBS

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