Healthcare Provider Details

I. General information

NPI: 1326984741
Provider Name (Legal Business Name): VIRGINIA SPORT & SPINE INSTITUTE OF CHATHAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 DEPOT ST
CHATHAM VA
24531-5518
US

IV. Provider business mailing address

1108 CHALK LEVEL RD
CHATHAM VA
24531-3262
US

V. Phone/Fax

Practice location:
  • Phone: 614-204-3444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALLISON HOWELL
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 614-204-3444