DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. LEE MATHESON FRIEND PTA

MEDICARE: MR. LEE MATHESON FRIEND PTA
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
1225200000XPhysical Therapy Assistant6897CA
2225200000XPhysical Therapy Assistant2306601817VA

General Provider Information

NPI Number : 1922275130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEE MATHESON FRIEND PTA
Provider Business Mailing Address
First Line : 4439 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3100
Country : US
Telephone Number : 757-252-0590
Fax Number :
Provider Business Practice Location Address
First Line : 4439 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3100
Country : US
Telephone Number : 757-252-0590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 03/29/2023

Similar Medicare Providers

1265580401 — MRS. ALISON CRISS IBANEZ
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax: 757-425-7180
1467716902 — ALEAH BARTOLOMEI PA
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax: 757-425-7180
1831733237 — SENTARA MEDICAL GROUP
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax:
1861037327 — BRYAN P GRAHAM
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax:
1518598937 — ANGELA ELAINE HOWE DPT
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax:
1083248140 — SENTARA THERAPY SOLUTIONS, LLC
Practice Location Address:
4439 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23462-3100
Practice Phone: 757-252-0590
Practice Fax: 757-425-7180

Directions to “ MR. LEE MATHESON FRIEND PTA” 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.