NPI Lens

Blue Ridge Integrative Wellness LLC

NPI 1164394177ActiveOrganization· General Practice· Dryden, VA

General Practice in Dryden, Virginia, registered in NPPES in September 2025. The authorized official on file is Tracy Rogers, OWNER, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1164394177
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2025
Last updated in NPPESSep 18, 2026
Certified by providerSep 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——
Home Health251E00000X——
Clinic/Center, Infusion Therapy261QI0500X——
Clinic/Center, Physical Therapy261QP2000X——
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405X——
Clinic/Center, Occupational Medicine261QX0100X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years