Healthcare Provider Details

I. General information

NPI: 1285244038
Provider Name (Legal Business Name): ALYSSA L OEHLER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 KEMPSVILLE RD
VIRGINIA BEACH VA
23464-7302
US

IV. Provider business mailing address

1444 KEMPSVILLE RD
VIRGINIA BEACH VA
23464-7302
US

V. Phone/Fax

Practice location:
  • Phone: 757-453-3440
  • Fax: 757-474-7931
Mailing address:
  • Phone: 757-453-3440
  • Fax: 757-474-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305213793
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: