Southeastern Physical Therapy

LBN: Ivyrehab Sept, Llc
Southeastern Physical Therapy is an health care organization with primary practice located at 5301 Providence Rd Suite 80, Virginia Beach VA 23464-4128. The organization recently has 5 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, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Ivyrehab Sept, Llc can be contacted via phone (757) 467-4604, or through Rucker, Michael via phone (914) 294-4050.

Contact Information

Primary practice address
5301 Providence Rd Suite 80 Virginia Beach VA 23464-4128
Phone: (757) 467-4604
Fax: (757) 467-2716
Website:
Map and Directions
Authorized official contact:
Name: Rucker, Michael
Phone: (914) 294-4050

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
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1982657433
LBN Legal business name Ivyrehab Sept, Llc
DBA Doing business as Southeastern Physical Therapy
Authorized official Rucker, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Dec 8th, 2022 - about 3 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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