PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC (NPI# 1770980757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770980757 |
| Entity Type | Organization |
| Organization Name | PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC |
| Practice Address |
2147 Old Greenbrier Rd Suite B Chesapeake VA 23320-2635 |
| Mailing Address |
Po Box 15763 Chesapeake VA 23328-5763 |
| Practice Telephone | 7573660200 |
| Mailing Telephone | 7573660200 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | DR. TRAVIS LEE (PRESIDENT) |
| Authorized Official Telephone | 7573660200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
0101241301 | VA | Ambulatory Health Care Facilities |
| Street Address |
2147 OLD GREENBRIER RD SUITE B |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548375835 | Beryl K G Sun | Obstetrics & Gynecology | 2147 Old Greenbrier Rd, Suite D, Chesapeake, VA 23320-2635 | 2006-08-20 |
| 1932690658 | Allegiant Health Services | Nurse Practitioner | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2018-05-29 |
| 1487101747 | Healthyher Center for Womens Care | Clinic/Center | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2016-09-04 |
| 1063845816 | Eastern Virginia Eye Institute | Special Hospital | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2013-08-15 |
| 1972941359 | Claudette Suzanne Wullert | Acupuncturist | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2013-06-07 |
| 1780855510 | Travis Lee Family Medicine, Pllc | Physical Medicine & Rehabilitation | 2147 Old Greenbrier Rd, B, Chesapeake, VA 23320-2635 | 2008-03-19 |
| 1376732628 | Travis Lee | Family Medicine | 2147 Old Greenbrier Rd, Suite B, Chesapeake, VA 23320-2635 | 2007-10-22 |
| 1497942296 | Yameika Surgical Group, P.C. | General Acute Care Hospital | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2007-09-26 |
| 1760540645 | Nightingale Home Health Services | Registered Nurse | 2147 Old Greenbrier Rd, Suite A, Chesapeake, VA 23320-2679 | 2006-12-05 |
| 1205905833 | Atlantic Care Associates PC | Family Medicine | 2147 Old Greenbrier Rd, Suite A, Chesapeake, VA 23320-2635 | 2006-11-07 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705387 | Coastal Regenex Ltd | Clinic/Center | 1013 Eden Way N Ste B, Chesapeake, VA 23320-2792 | 2020-03-13 |
| 1366973919 | New Era Healthcare Inc | Clinic/Center | 3336 Stilworken Dr, Chesapeake, VA 23321-4925 | 2017-03-24 |
| 1568901718 | Chs Virginia Medical P C | Clinic/Center | 1421 Kristina Way, Chesapeake, VA 23320-8917 | 2017-02-21 |
| 1811180557 | Chesapeake Care, Inc | Clinic/Center | 2145 S Military Hwy, Chesapeake, VA 23320-4426 | 2007-08-27 |
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| 1326653585 | Restore Health of Va LLC | Clinic/Center | 44121 Harry Byrd Hwy Ste 120, Ashburn, VA 20147-5668 | 2020-09-14 |
| 1760091185 | John Cary Md PC | Clinic/Center | 8571 Sudley Rd Ste A, Manassas, VA 20110-3862 | 2020-07-31 |
| 1639793458 | Virtual Therapy Partners | Clinic/Center | 11536 Leehigh Dr, Fairfax, VA 22030-5639 | 2020-06-08 |
| 1932721693 | Stardust Applications, LLC | Clinic/Center | 1860 Kempsville Crossing Ln, Virginia Beach, VA 23464-6935 | 2020-05-15 |
| 1902437841 | Speech & Occupational Therapy Specialists | Clinic/Center | 625 Piney Forest Rd Ste 403, Danville, VA 24540-2870 | 2020-01-29 |
| 1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
| 1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
| 1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
| 1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
| 1891273967 | For Most Health Care, Inc. | Clinic/Center | 3018 Edgewood Ave, Richmond, VA 23222-2504 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on PHYSIATRY-SPORTS & FAMILY MEDICINE, LLC.
| 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.