Healthcare Provider Details

I. General information

NPI: 1770699456
Provider Name (Legal Business Name): PINNACLE HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
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

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

V. Phone/Fax

Practice location:
  • Phone: 757-595-4880
  • Fax: 757-595-4886
Mailing address:
  • Phone: 757-880-6675
  • Fax: 757-595-4886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number0119002028
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number0119000085
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119000085
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0119002028
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0119000085
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number0119002028
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119002028
License Number StateVA

VIII. Authorized Official

Name: DR. PHYLLIS R ROSS
Title or Position: OWNER
Credential: OTDRL CHT, CAP
Phone: 757-595-4880