MEDICARE: MRS. DIANNE ELLEN EPPLEIN PT

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305 000587	VA
2	225000000X	Orthotic Fitter

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	64 00313	OTHER	UNITED HEALTH CARE
2	35062	OTHER	OPTIMA
3	5369690	OTHER	AETNA
4	5275769	OTHER	AETNA GROUP
5	436752	OTHER	ANTHEM BLUE CROSS
6	007328	OTHER	ANTHEM BLUE CROSS GROUP
7	4980093	OTHER	VIRGINIA PREMIER HEALTH P
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	11230312	OTHER	CAQH
10	350034	OTHER	OPTIMA GROUP
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1508847591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANNE ELLEN EPPLEIN PT

Provider Business Mailing Address
First Line	:	818 NEWTOWN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1116
Country	:	US
Telephone Number	:	757-473-8016
Fax Number	:	757-473-3580

Provider Business Practice Location Address
First Line	:	818 NEWTOWN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1116
Country	:	US
Telephone Number	:	757-473-8016
Fax Number	:	757-473-3580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	09/11/2025

802 NEWTOWN RD
VIRGINIA BEACH, VA
23462-1116

Practice Phone: 757-497-0606
Practice Fax: 757-497-0411

818 NEWTOWN RD
VIRGINIA BEACH, VA
23462-1116