Virtue Medical Physical Therapy, PLLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Bridgeport, TX
NPI 1760158596 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1760158596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- VIRTUE MEDICAL PHYSICAL THERAPY, PLLC
- Practice address
- 1703 16TH St Ste D
Bridgeport, TX 76426-2179 - Phone
- (940) 255-6552
- Fax
- (940) 202-7058
- NPI assigned
- Aug 20, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- VIRTUE MEDICAL GROUP, LLC
Authorized official
- Name
- Dani Davis, M.ED
- Title
- Coo
- Phone
- (906) 382-5064
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 3
-
Kevin Lee Davis, PA-C
-
Ashley Jendusa, FNP-C
-
Jordan Pastorek, MD
National Provider Directory
- Tax ID family
- Virtue Medical PA PLLC
- Part of
- Virtue Medical PA PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
1703 16TH St Ste D
Bridgeport, TX 76426-2179
Mailing address
PO Box 1500
Bridgeport, TX 76426-1500
Phone (940) 255-6552
Other providers in Bridgeport, TX
- Mihir Umesh Talati
- Russell J Tanner
- Chandra Renee Vanvacter
- Virtue Medical Group, LLC
- Virtue Medical PA, PLLC
- Walgreen Co
- Edwina G Walker
- Jon W Walker
- Morgan Paige Walker
- Robert Lee Ware III
All providers in Bridgeport, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.