MEDICARE: FIRST STEPS PHYSICAL THERAPY, INC.

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	252Y00000X	Early Intervention Provider Agency	2305211032	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336190511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST STEPS PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	4915 TURNER RIDGE CT
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5925
Country	:	US
Telephone Number	:	404-918-4010
Fax Number	:

Provider Business Practice Location Address
First Line	:	4915 TURNER RIDGE CT
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5925
Country	:	US
Telephone Number	:	404-918-4010
Fax Number	:

Authorized Official
Title or Position	:	QWNER
Name	:	MS. JOSEPHINE V HARDWICK
Credential	:	P.T.
Telephone Number	:	404-918-4010

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	07/21/2022

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