Organization Active NPI

Lymphedema Physiotherapy

  • Health Maintenance Organization
  • Virginia Beach, VA
National Provider Identifier
1821291964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0019 005511 Issued in VA
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

Updated by the provider on Aug 22, 2020

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, CMTNPI 1104010453
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.