MEDICARE: PINNACLE HAND THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	4651840001	VA
2	332B00000X	Durable Medical Equipment & Medical Supplies	4651840001	VA

General Provider Information

NPI Number	:	1184830911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HAND THERAPY

Provider Business Mailing Address
First Line	:	11712 JEFFERSON AVE STE D
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4406
Country	:	US
Telephone Number	:	757-595-4880
Fax Number	:	757-595-4886

Provider Business Practice Location Address
First Line	:	11712 JEFFERSON AVE STE D
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4406
Country	:	US
Telephone Number	:	757-595-4880
Fax Number	:	757-595-4886

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. ISAAC ROSS
Credential	:
Telephone Number	:	757-595-4880

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	09/11/2025

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Directions to “PINNACLE HAND THERAPY ” Practice Location

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