MEDICARE: SOLOMON V MCDONALD

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	225100000X	Physical Therapist	2305217557	VA

General Provider Information

NPI Number	:	1861331043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLOMON V MCDONALD

Provider Business Mailing Address
First Line	:	5300 HICKORY PARK DR STE 110
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-2629
Country	:	US
Telephone Number	:	804-756-8495
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 S LABURNUM AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-4420
Country	:	US
Telephone Number	:	804-447-5355
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/31/2026

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Directions to “ SOLOMON V MCDONALD ” Practice Location

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