Healthcare Provider Details

I. General information

NPI: 1598846255
Provider Name (Legal Business Name): MICHELE P DEGARMO MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 BERKMAR DR STE A1
CHARLOTTESVILLE VA
22901-1593
US

IV. Provider business mailing address

18262 GLEN OAK WAY
LEESBURG VA
20176-3991
US

V. Phone/Fax

Practice location:
  • Phone: 540-941-5501
  • Fax:
Mailing address:
  • Phone: 540-941-5501
  • Fax: 540-941-5502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305004574
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: