Healthcare Provider Details
I. General information
NPI: 1518471671
Provider Name (Legal Business Name): NEWTOWN CHIROPRACTIC CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2017
Last Update Date: 09/12/2025
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5777 PRINCESS ANN ROAD
VIRGINIA BEACH VA
23462
US
IV. Provider business mailing address
5777 PRINCESS ANNE RD
VIRGINIA BEACH VA
23462-3224
US
V. Phone/Fax
- Phone: 757-490-9717
- Fax: 757-490-9714
- Phone: 757-490-9717
- Fax: 757-490-9714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | 0104001667 |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
ROBERT
C
PY
Title or Position: OWNER
Credential: DC
Phone: 757-490-9717