Victor Luke Kulynycz

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2306606018 Issued in VA

Practice address

6751 Maddox Blvd
Chincoteague Island, VA 23336-2253

Phone

(757) 336-5330

Fax

(757) 336-5355

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By 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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Rehab LLC

  • Physical Therapy Clinic/Center
  • Chincoteague, VA
  • NPI 1093749319
  NPD

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1982376422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 E RIDGE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532218",
            "telephone_number": "410-726-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 MADDOX BLVD",
            "city": "CHINCOTEAGUE ISLAND",
            "state": "VA",
            "postal_code": "233362253",
            "telephone_number": "757-336-5330",
            "fax_number": "757-336-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULYNYCZ",
        "first_name": "VICTOR",
        "middle_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2306606018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Coniglio, PA
• Denise Day Crosson, FNP,PH.D.
• H & H Pharmacy (H and H Pharmacy)
• Hagan Industries LLC (Hagan Home Care Services)
• Island Chiropractic Center
• Mary Susie Melvin
• John William Moore, D.O.
• Lindsey Serena Plato-Johnson, CRNP
• Roden C Stewart, D.C.
• Margaret Elizabeth Taylor, D.C.

• Physical Medicine & Rehabilitation Physician in Chincoteague Island, VA
• Providers in Chincoteague Island, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.