Healthcare Provider Details

I. General information

NPI: 1104398205
Provider Name (Legal Business Name): INVICTUS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2018
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 THIMBLE SHOALS BLVD STE 1008
NEWPORT NEWS VA
23606-3585
US

IV. Provider business mailing address

1030 LOFTIS BLVD STE 201
NEWPORT NEWS VA
23606-2999
US

V. Phone/Fax

Practice location:
  • Phone: 540-397-0094
  • Fax:
Mailing address:
  • Phone: 757-310-6413
  • Fax: 757-935-0242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHE MONTE TORRY
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 757-310-6413