Virginia Beach Physical Therapy & Wellness , PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204696 Issued in VA

Legal business name

VIRGINIA BEACH PHYSICAL THERAPY & WELLNESS , PLLC

Practice address

2126 Great Neck SQ
Virginia Beach, VA 23454-2202

Phone

(757) 578-2197

Fax

(757) 578-2330

NPI assigned

Mar 28, 2016

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michele Martin Nielsen, DPT

Title

Physical Therapist

Phone

(757) 578-2197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lynne Eisenberg, DPT, MS, ATC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1588143796
  Medicare reassignment Care Compare group NPD
• Simonne Bresch Meade, MPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1891880746
  Medicare reassignment Care Compare group NPD
• Michele Christine Nielsen, DPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1366537219
  Medicare reassignment Care Compare group NPD
• Samantha Somers, PT, DPT

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1174121115

  VA

  Medicare reassignment Care Compare group NPD
• Denise L Bailey, PT

  • Physical Therapist
  • Sugar Grove, IL
  • NPI 1124072012

  VA

  Medicare reassignment NPD
• Ashley Marie Delalla, DPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1316230170
  NPD
• Kimberly Ann Naylor, PT

  • Physical Therapist
  • VA Beach, VA
  • NPI 1205035326
  NPD

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1861854812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 GREAT NECK SQ",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542202",
            "telephone_number": "757-578-2197",
            "fax_number": "757-578-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 GREAT NECK SQ",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542202",
            "telephone_number": "757-578-2197",
            "fax_number": "757-578-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH PHYSICAL THERAPY & WELLNESS , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-578-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Beach Life Care Corp
• Virginia Beach Medical Associates, PLC
• Virginia Beach Mercy Dental Clinic
• Virginia Beach Neurology LTD
• Virginia Beach Neurology, LTD
• Virginia Beach Premier Medical , P.C.
• Virginia Beach Radiology PC
• Virginia Beach Smile Mission PLLC
• Virginia Beach SNF LLC (Virginia Beach Healthcare & Rehabilitation Center)
• Virginia Beach Surgery Center

• 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 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.