Southeastern Physical Therapy

LBN: Ivyrehab Sept, Llc
Southeastern Physical Therapy is an health care organization with primary practice located at 4668 Pembroke Blvd Suite 115, Virginia Beach VA 23455-6423. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Ivyrehab Sept, Llc can be contacted via phone (757) 648-8562, or through Miles, Kenneth via phone (914) 777-8700.

Contact Information

Primary practice address
4668 Pembroke Blvd Suite 115 Virginia Beach VA 23455-6423
Phone: (757) 648-8562
Fax: (757) 648-8564
Website:
Map and Directions
Authorized official contact:
Name: Miles, Kenneth
Phone: (914) 777-8700

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1093194193
LBN Legal business name Ivyrehab Sept, Llc
DBA Doing business as Southeastern Physical Therapy
Authorized official Miles, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2015
Last updated Nov 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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