Active NPI
Lymphedema Physiotherapy
- Health Maintenance Organization
- Virginia Beach, VA
National Provider Identifier
1821291964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 0019 005511
- Legal business name
- LYMPHEDEMA PHYSIOTHERAPY
- Practice address
- 4301 Virginia Beach Blvd
Virginia Beach, VA 23452-1250 - Phone
- (757) 615-2124
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zia Razzaq, D.SC., LLCC, CMT
- Title
- President
- Phone
- (757) 615-2124
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 0019 005511 | VA | Primary |
Addresses
Primary practice location
4301 Virginia Beach Blvd
Virginia Beach, VA 23452-1250
Mailing address
4128 Cheswick LN
Virginia Beach, VA 23455-6559
Phone (757) 615-2124
Other names 1
- Neptune Engineering Corporation
National Provider Directory
National Provider DirectoryLocations
4301 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 498-0098
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Virginia Beach, VA
- NPI 1104010453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821291964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4128 CHESWICK LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556559",
"telephone_number": "757-615-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521250",
"telephone_number": "757-615-2124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYMPHEDEMA PHYSIOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAZZAQ",
"authorized_official_first_name": "ZIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-615-2124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.SC., LLCC, CMT"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "VA",
"license": "0019 005511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neptune Engineering Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.