MEDICARE: MRS. STEPHANIE RICARD ROBERTS P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305003819	VA

General Provider Information

NPI Number	:	1740233436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE RICARD ROBERTS P.T.

Provider Business Mailing Address
First Line	:	1377 MOTOR PKWY STE 307
Second Line	:
City	:	ISLANDIA
State	:	NY
Zip	:	11749-5258
Country	:	US
Telephone Number	:	631-580-5200
Fax Number	:	631-580-5222

Provider Business Practice Location Address
First Line	:	4668 PEMBROKE BLVD STE 115
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-6423
Country	:	US
Telephone Number	:	757-932-4261
Fax Number	:	757-648-8564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	06/20/2022

Similar Medicare Providers

1417950023 — CAROL J ASHMAN M.D.
Practice Location Address:

4668 PEMBROKE BLVD , STE 117
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-965-4145
Practice Fax: 757-965-4168

1417930033 — DR. CHARLES HECHT-LEAVITT M.D.
Practice Location Address:

4668 PEMBROKE BLVD , SUITE 117
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-671-1144
Practice Fax: 767-671-1265

1922081538 — DR. DARYL R FANNEY M.D.
Practice Location Address:

4668 PEMBROKE BLVD , SUITE 117
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-671-1144
Practice Fax: 757-671-1265

1073596698 — DR. ANDRES H TOROP M.D.
Practice Location Address:

4668 PEMBROKE BLVD , SUITE 117
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-965-4171
Practice Fax: 757-965-4168

1194709139 — CHARLES HECHT-LEAVITT MD, P.C.
Practice Location Address:

4668 PEMBROKE BLVD , SUITE 117
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-671-1144
Practice Fax: 757-671-7299

1780656827 — DR. MARK Z SOCCIO D.C.
Practice Location Address:

4668 PEMBROKE BLVD , SUITE 101
VIRGINIA BEACH, VA
23455-6423

Practice Phone: 757-490-5828
Practice Fax: 757-490-1214

Directions to “ MRS. STEPHANIE RICARD ROBERTS P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.