Provider Demographics
NPI:1174736862
Name:ABINGDON THERAPY SERVICES, INC
Entity type:Organization
Organization Name:ABINGDON THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:276-628-6043
Mailing Address - Street 1:137 COOK ST
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3203
Mailing Address - Country:US
Mailing Address - Phone:276-628-6043
Mailing Address - Fax:276-628-7543
Practice Address - Street 1:137 COOK ST
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3203
Practice Address - Country:US
Practice Address - Phone:276-628-6043
Practice Address - Fax:276-628-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
VA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA101054Medicare PIN
VA3925750001Medicare NSC