Individual provider Active NPI

Steven B Phillips, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1295697779
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217525 Issued in VA
Practice address
4554 Virginia Beach Blvd Ste 970
Virginia Beach, VA 23462-3047
Phone
(757) 742-3778
Fax
(757) 585-3787
NPI assigned
Dec 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305217525 VA Primary

Addresses

Primary practice location

4554 Virginia Beach Blvd Ste 970
Virginia Beach, VA 23462-3047

Mailing address

2645 Bernadotte St
Virginia Beach, VA 23456-6509
Phone (757) 742-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114003344 VA Practitioner - Physical Therapist in Private Practice 1254817711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Direct Performance Physical Therapy, LLCGroup PAC ID 1951627934, 24 clinicians

Practice addresses (Care Compare)

4554 Virginia Beach Blvd
Suite 970
Virginia Beach, VA 23462-3047
Phone (757) 742-3778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305217525VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Performance Physical Therapy, LLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
DPPT 2, LLC Physical Therapist Past Accepting new patients

Locations

4554 Virginia Beach Blvd
Ste 970
Virginia Beach, VA 23462
Phone (757) 636-6727

2247 W Great Neck Rd
Ste 101
Virginia Beach, VA 23451
Phone (757) 589-7585

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1295697779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 BERNADOTTE ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566509",
            "telephone_number": "757-742-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 VIRGINIA BEACH BLVD STE 970",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623047",
            "telephone_number": "757-742-3778",
            "fax_number": "757-585-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217525",
            "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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.