Southeastern Therapy For Kids

LBN: Ivyrehab Sept, Llc
Southeastern Therapy For Kids is an health care organization with primary practice located at 41 Old Oyster Point Rd Ste E , Newport News VA 23602-7177. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Ivyrehab Sept, Llc can be contacted via phone (757) 223-1466, or through Miles, Kenneth via phone (914) 777-8700.

Contact Information

Primary practice address
41 Old Oyster Point Rd Ste E Newport News VA 23602-7177
Phone: (757) 223-1466
Fax: (757) 223-1467
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

Profile Details

NPI number 1871081042
LBN Legal business name Ivyrehab Sept, Llc
DBA Doing business as Southeastern Therapy For Kids
Authorized official Miles, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2018
Last updated Sep 14th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871081042 NPPES
Virginia MEDICAID 96660

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