MOMMY CARE PT, LLC


Address: 3619 Mardean Dr, Chesapeake, VA 23321-4475
Phone: 7575536701

MOMMY CARE PT, LLC (NPI# 1124584453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124584453
Entity Type Organization
Organization Name MOMMY CARE PT, LLC
Practice Address 3619 Mardean Dr
Chesapeake
VA 23321-4475
Practice Telephone 7575536701
Mailing Telephone 7575536701
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Authorized Official Name ERIN M. GLACE (OWNER, PT)
Authorized Official Telephone 7575536701
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 3619 MARDEAN DR
City CHESAPEAKE
State VA
Zip Code 23321-4475

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1891189429 Kelly C Diguilio Social Worker 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 2015-03-20
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1598932113 Jrose Integrative Therapy Clinic/Center 900 Stanhope Gardens, Suite 101, Chesapeake, VA 23320 2008-05-13
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1013101765 Hand Works, Inc. Clinic/Center 200 Medical Pkwy, Suite 210, Chesapeake, VA 23320-4911 2007-09-05

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1831709500 The Balance Center, LLC Clinic/Center 4002 Millcreek Dr, Annandale, VA 22003-2334 2020-08-06
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1154948933 My Pt and Pilates Inc Clinic/Center 6706 Red Jacket Rd, Springfield, VA 22152-2633 2020-06-29
1871117705 Level Up Physical Therapy Clinic/Center 1625 Maiden Ln, Charlottesville, VA 22911-7509 2020-06-06
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Competitor

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City CHESAPEAKE
Zip Code 23321

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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