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NPI Code Detail

MEDICARE: ATLANTIC PHYSICAL THERAPY PC

MEDICARE: ATLANTIC PHYSICAL THERAPY PC
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
1261QP2000XPhysical Therapy Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11841376746OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2150424500OTHERDEPT OF LABOR
3192612OTHERVAANTHEM BCBS

General Provider Information

NPI Number : 1841376746
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 1016 FIRST COLONIAL ROAD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3073
Country : US
Telephone Number : 757-481-4066
Fax Number : 757-481-3779
Provider Business Practice Location Address
First Line : 1016 FIRST COLONIAL RD STE 100
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3073
Country : US
Telephone Number : 757-481-4066
Fax Number : 757-481-3779
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRIAN ROBERT HOKE
Credential : PT, DPT, SCS
Telephone Number : 757-481-4066
Provider Enumeration Date : 10/31/2006
Last Update Date : 12/11/2024

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Directions to “ATLANTIC PHYSICAL THERAPY PC ” Practice Location

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