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General NPI Number Information
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NPI Number | 1073573242
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Entity Type | Organization
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Legal Business Name | DOMINION PHYSICAL THERAPY & ASSOCIATES INC.
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 304 MARCELLA ROAD SUITE E
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-825-9446
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Fax | 757-825-9476
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Provider Business Mailing Address
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Address Line | 729 THIMBLE SHOALS BLVD SUITE 4C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4217
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Country | US
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Telephone | 757-873-2932
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALLEN R JONES JR.
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Credential |
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Telephone | 757-873-2932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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