Healthcare Provider Details

I. General information

NPI: 1184830911
Provider Name (Legal Business Name): PINNACLE HAND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 CITY CENTER BLVD STE D
NEWPORT NEWS VA
23606-3094
US

IV. Provider business mailing address

11712 JEFFERSON AVE STE D
NEWPORT NEWS VA
23606-4406
US

V. Phone/Fax

Practice location:
  • Phone: 757-595-4880
  • Fax: 757-595-4886
Mailing address:
  • Phone: 757-595-4880
  • Fax: 757-595-4886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4651840001
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number4651840001
License Number StateVA

VIII. Authorized Official

Name: MR. ISAAC ROSS
Title or Position: MANAGER
Credential:
Phone: 757-595-4880