Ross, Phyllis R

Ross, Phyllis R is an individual health care provider with primary practice located at 11712 Jefferson Ave Suite D, Newport News VA 23606-4406. She recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Ross, Phyllis R can be contacted via phone (757) 595-4880.

Contact Information

Primary practice address
11712 Jefferson Ave Suite D Newport News VA 23606-4406
Phone: (757) 595-4880
Fax: (757) 595-4886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119002028 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0119002028 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors 225XH1300X 0119002028 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X 0119002028 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0119002028 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 0119002028 Virginia

Profile Details

NPI number 1184686453
LBN Legal business name Ross, Phyllis R
Credentials OTR/L, CHT, CLT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jun 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184686453 NPPES
Virginia MEDICAID 008948721
Virginia Other 2101706
Virginia Other 462361
Virginia Other 7202455
Virginia Other 2101706
Virginia Other 2062541
Virginia Other P00204753
Virginia Other 70510

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