Healthcare Provider Details

I. General information

NPI: 1083360663
Provider Name (Legal Business Name): ALPHA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3967 CHAPMAN RD STE B
MAX MEADOWS VA
24360-4022
US

IV. Provider business mailing address

235 VAN MAR DR
WYTHEVILLE VA
24382-4136
US

V. Phone/Fax

Practice location:
  • Phone: 276-620-9546
  • Fax: 276-764-2800
Mailing address:
  • Phone: 276-620-9546
  • 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: JOSHUA STEPHENS
Title or Position: OWNER OPERATOR
Credential:
Phone: 276-764-2878