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SOUTH RIVER REHABILITATION AND PERFORMANCE
NPI 1548828205
Physical Therapist - Orthopedic in Waynesboro, VA

Active since May 29, 2019
38 EBCO CIR, WAYNESBORO, VA 22980(540) 490-0308(540) 451-7064 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2021, Jun 11, 2019, May 29, 2019 (3 updates tracked since 2019).

About South River Rehabilitation And Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH RIVER REHABILITATION AND PERFORMANCE (NPI 1548828205) is a healthcare organization registered as an orthopedic in Waynesboro, Virginia and active in the NPI registry since May 2019. The organization lists Justin Thomas Dimitt, Owner, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1548828205
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSOUTH RIVER REHABILITATION AND PERFORMANCE
Location Address38 EBCO CIRWaynesboro, VA 22980-7344
Mailing Address38 Ebco Cir Ste 106Waynesboro, VA 22980-7344 · (540) 490-0308 · Fax (540) 451-7064
Phone(540) 490-0308
Fax(540) 451-7064
Organization SubpartNo
Authorized OfficialJustin Thomas DimittOwner, Physical Therapist · (540) 490-0308
Enumeration DateMay 29, 2019
Last NPPES UpdateMay 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1548828205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
38 EBCO CIR, Waynesboro, VA 22980
Open in Google Maps ↗

Other Identifiers 1

Other1407142482VA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South River Rehabilitation And Performance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South River Rehabilitation And Performance, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jane Gilford, DPT
Physical Therapist in Private Practice
NPI 1114592896
38 EBCO CIR
Waynesboro, VA 22980
(540) 490-0308
✔ Accepts MedicareSame address
Aaron Lam, DPT
Physical Therapist in Private Practice
NPI 1194327536
32 WINDWARD DR STE 110
Fishersville, VA 22939
(540) 949-5383
✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South River Rehabilitation And Performance's NPI number?

The NPI number for South River Rehabilitation And Performance is 1548828205. It was assigned to this organization in the NPPES registry on May 29, 2019.

Where is South River Rehabilitation And Performance located?

South River Rehabilitation And Performance is located at 38 Ebco Cir, Waynesboro, VA 22980. The listed phone number is (540) 490-0308.

What is South River Rehabilitation And Performance's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is South River Rehabilitation And Performance enrolled in Medicare?

Yes. South River Rehabilitation And Performance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South River Rehabilitation And Performance?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to South River Rehabilitation And Performance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South River Rehabilitation And Performance was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.