Healthcare Provider Details

I. General information

NPI: 1417144197
Provider Name (Legal Business Name): ALEXANDER L DIGGES JR. PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SASHA L. DIGGES JR. PT

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 ENTERPRISE PKWY STE 900
HAMPTON VA
23666-6250
US

IV. Provider business mailing address

901 ENTERPRISE PKWY STE 200
HAMPTON VA
23666-6249
US

V. Phone/Fax

Practice location:
  • Phone: 757-827-2480
  • Fax: 757-827-2566
Mailing address:
  • Phone: 757-827-2480
  • Fax: 757-827-2566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305202326
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: