MEDICARE: DIANNE D. EPPLEIN, R.P.T & ASSOCIATES PC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier
3	225100000X	Physical Therapist
4	235Z00000X	Speech-Language Pathologist
5	225000000X	Orthotic Fitter
6	225X00000X	Occupational Therapist

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	007328	OTHER	ANTHEM BLUE CROSS
3	4980093	OTHER	VIRGINIA PREMIER HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	350034	OTHER	OPTIMA
6	5275769	OTHER	AETNA
7	6400313	OTHER	UNITED HEALTH CARE

NPI Number	:	1841271830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANNE D. EPPLEIN, R.P.T & ASSOCIATES PC

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	:	PRESIDENT
Name	:	MRS. DIANNE D EPPLEIN
Credential	:	PT
Telephone Number	:	757-473-8016

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	11/16/2011

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