Healthcare Provider Details

I. General information

NPI: 1649057746
Provider Name (Legal Business Name): ANNA R PATTERSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ARMISTEAD POINTE PKWY STE B
HAMPTON VA
23666-1782
US

IV. Provider business mailing address

11751 ROCK LANDING DR STE 3
NEWPORT NEWS VA
23606-4233
US

V. Phone/Fax

Practice location:
  • Phone: 757-224-4601
  • Fax:
Mailing address:
  • Phone: 757-223-9403
  • Fax: 757-223-5546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305215676
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: