Stephen Ernest Daisey, MPT

Individual provider Active NPI Orthopedic Physical Therapist · Oak Hall, VA

NPI 1215025754 · NPPES record last updated Nov 6, 2012

Key facts

NPI
1215025754
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
2305204289 (VA)
Practice address
7007 Lankford Hwy
Oak Hall, VA 23416-2223
Phone
(757) 854-0500
Fax
(757) 854-0545
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mosher Physical Therapy & Sports Medicine PC Past Accepting new patients
Bayside Rehabilitation Past Accepting new patients
Mosher Physical Therapy and Sportsmedicine Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305204289 VA Yes

Addresses

Primary practice location

7007 Lankford Hwy
Oak Hall, VA 23416-2223

Mailing address

PO Box 396
Atlantic, VA 23303-0396
Phone (757) 854-0500

Other identifiers

IdentifierTypeStateIssuer
203535898OtherVACIGNA
10008313OtherVASENTARA/OPTIMA
203535898OtherVATRICARE
195578OtherVAANTHEM BCBS
203535898OtherVAAETNA
5102853OtherVAMAMSI, UNITED HEALTHCARE

Other providers in Oak Hall, VA

All providers in Oak Hall, VA · Orthopedic Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.