Active NPI
Haley Tomb, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1154516474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204670
- Practice address
- 968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171 - Phone
- (757) 412-1005
- Fax
- (151) 412-1015
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204670 | VA | Primary |
Addresses
Primary practice location
968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171
Mailing address
2133 Mill Crossing Dr
Apt 108
Virginia Beach, VA 23454-1257
Phone (757) 287-3554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204670 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1154516474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 MILL CROSSING DR",
"address_2": "APT 108",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541257",
"telephone_number": "757-287-3554",
"fax_number": "151-412-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 FIRST COLONIAL RD",
"address_2": "SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543171",
"telephone_number": "757-412-1005",
"fax_number": "151-412-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMB",
"first_name": "HALEY",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.