Electrophysiologic Testing and Physical Therapy Services

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

ELECTROPHYSIOLOGIC TESTING AND PHYSICAL THERAPY SERVICES

Practice address

725 Volvo Pkwy
Chesapeake, VA 23320-1621

Phone

(757) 252-4130

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael T Tamburello, PT, ECS, PHDNPI 1265996292

Title

President

Phone

(757) 424-7467

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Tronto Tamburello, PT, ECS, PHD

  • Clinical Electrophysiology Physical Therapist
  • Chesapeake, VA
  • NPI 1265996292

  Electrophysiology, Clinical

  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1316401359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEETING HOUSE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557003",
            "telephone_number": "757-424-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201621",
            "telephone_number": "757-252-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROPHYSIOLOGIC TESTING AND PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "TAMBURELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-424-7467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, ECS, PHD"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.