Organization
AMELIA WELLNESS AND REHABILITATION LLC
Active
Organization
AMELIA WELLNESS AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER M MOORE (OWNER)
(804) 561-1617
Entity
Organization
Contact information
Practice address
12882 PATRICK HENRY HWY, AMELIA, VA 23002-3929
(804) 561-1617
(804) 561-5533
Mailing address
12882 PATRICK HENRY HWY, AMELIA, VA 23002-3929
(804) 561-1617
(804) 561-5533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006053
VA
225X00000X
Occupational Therapist
0119002329
VA
235Z00000X
Speech-Language Pathologist
2202004731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194219
ANTHEM PT
VA
01
—
194220
ANTHEM-OT
VA
01
—
194221
ANTHEM-ST
VA
01
—
431649
SOUTHERN HEALTH
VA
Enumeration date
05/08/2006
Last updated
01/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up