ELECTROPHYSIOLOGIC TESTING AND PHYSICAL THERAPY SERVICES (NPI# 1316401359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316401359 |
| Entity Type | Organization |
| Organization Name | ELECTROPHYSIOLOGIC TESTING AND PHYSICAL THERAPY SERVICES |
| Practice Address |
725 Volvo Pkwy Chesapeake VA 23320-1621 |
| Mailing Address |
1601 Meeting House Ln Virginia Beach VA 23455-7003 |
| Practice Telephone | 7572524130 |
| Mailing Telephone | 7574247467 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | DR. MICHAEL T TAMBURELLO (PRESIDENT) |
| Authorized Official Telephone | 7574247467 |
| Authorized Official Credential | PT, ECS, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
725 VOLVO PKWY |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386041 | Marc Kamel Boustany | Specialist | 725 Volvo Pkwy, Ste. 210, Chesapeake, VA 23320-1602 | 2005-06-15 |
| 1487214235 | Paige C Fedro | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-06-14 |
| 1205391166 | Sonya Leann Woronowicz | Nurse Practitioner | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-02-05 |
| 1962985655 | Kelsey Jordana Garner | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2018-09-10 |
| 1881188183 | Lindsay Piccillo Houghton | Registered Nurse | 725 Volvo Pkwy, Chesapeake, VA 23320 | 2018-06-20 |
| 1437690153 | Caitlin T Johnson | Nurse Practitioner | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2017-03-14 |
| 1932511441 | Van Thi Nguyen | Family Medicine | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1952727588 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2014-03-06 |
| 1225276785 | Sentara Medical Group | Orthopaedic Surgery | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2009-01-21 |
| 1780840199 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265996292 | Michael T Tamburello | Physical Therapist | 725 Volvo Pkwy Ste 210, Chesapeake, VA 23320-1621 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366594426 | Michael George Levrini | Physical Therapist | 11670 Bennington Woods Rd, Reston, VA 20194-1610 | 2007-01-17 |
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on ELECTROPHYSIOLOGIC TESTING AND PHYSICAL THERAPY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.