Dennis Pareja Eudela

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005743 Issued in VA

Practice address

5232 Providence Rd
Virginia Beach, VA 23464-4202

Phone

(757) 495-5003

Fax

(757) 495-8305

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1649502725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 CHARTWELL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643509",
            "telephone_number": "757-515-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644202",
            "telephone_number": "757-495-5003",
            "fax_number": "757-495-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDELA",
        "first_name": "DENNIS",
        "middle_name": "PAREJA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Renee Etheredge
• Jasmine Etheridge
• Stephanie A Eubank, MA
• Leanne C Eubanks
• Patricia Eubanks
• Eugene B Triplet II
• Gregg R Eure, M.D.
• Angela Renee Eury-Johnson, MA, LPC
• Lauren Nicole Strum Eusner, RDH
• Lee James Euston, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.