MEDICARE: MISS SIMONNE BRESCH MEADE MPT

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	PT010151	GA
2	225100000X	Physical Therapist	2305202647	VA
3	225100000X	Physical Therapist	P11637	NC
4	225100000X	Physical Therapist	37718	CA
5	225100000X	Physical Therapist	5735	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	388305	OTHER		CHAMPUS

General Provider Information

NPI Number	:	1891880746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SIMONNE BRESCH MEADE MPT

Provider Business Mailing Address
First Line	:	7218 ATLANTIC AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-2029
Country	:	US
Telephone Number	:	804-529-5178
Fax Number	:

Provider Business Practice Location Address
First Line	:	2126 GREAT NECK SQ
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2202
Country	:	US
Telephone Number	:	757-578-2197
Fax Number	:	757-578-2330

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/13/2025

Similar Medicare Providers

1962482299 — DR. RICHARD LYNN TRAUGH DDS
Practice Location Address:

2142 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-481-3699
Practice Fax:

1366537219 — DR. MICHELE CHRISTINE NIELSEN DPT
Practice Location Address:

2126 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-578-2197
Practice Fax: 757-578-2330

1295864429 — MS. PILAR SEYRLEHNER R.PH.,M.S.
Practice Location Address:

2110 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-481-5458
Practice Fax: 757-481-7417

1902013436 — DR. TRACY LEIGH DONNELLY PHARM D
Practice Location Address:

2110 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-481-5458
Practice Fax: 757-481-7417

1376787283 — ASRA R JAVEED DMD
Practice Location Address:

2142 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-481-3699
Practice Fax:

1427361575 — DR. DARREN DORFMAN DDS
Practice Location Address:

2142 GREAT NECK SQ
VIRGINIA BEACH, VA
23454-2202

Practice Phone: 757-481-3699
Practice Fax: 757-481-1496

Directions to “ MISS SIMONNE BRESCH MEADE MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.