Healthcare Provider Details

I. General information

NPI: 1750171930
Provider Name (Legal Business Name): LAUREN M POWERS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 BATTLEFIELD BLVD N STE 200
CHESAPEAKE VA
23320-4853
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 757-436-3350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217045
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: