DR. ANDREW BLACK III (NPI# 1245620137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245620137 |
| Entity Type | Individual |
| Full Name | DR. ANDREW BLACK III |
| Credential | DPT, OCS |
| Practice Address |
1725 Laskin Rd Virginia Beach VA 23454 |
| Mailing Address |
3500 Royal Palm Ct Virginia Beach VA 23452 |
| Practice Telephone | 7576524417 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305204346 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1548408669 | Andrew P Black | Podiatrist | 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 | 2009-01-27 |
| 1457480659 | Andrew Steven Black | Chiropractor | 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 | 2007-03-05 |
| 1659318020 | Andrew James Black | Internal Medicine | 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 | 2006-06-02 |
| 1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
| 1346726999 | Andrew Black | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2018-07-17 |
| 1740787241 | Andrew Black | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-11 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1063838720 | Andrew Allen Black | Massage Therapist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2014-03-05 |
| 1417222340 | Andrew Patrick Black | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2012-03-10 |
| Street Address |
1725 LASKIN RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780802611 | Rasean Huntergreene | Physical Therapy Assistant | 1725 Laskin Rd, Ste 535, Virginia Beach, VA 23454-4558 | 2007-04-23 |
| 1447687389 | Brian Maher | Physical Therapist | 1725 Laskin Rd, Suite 535, Virginia Beach, VA 23454-4558 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242491 | Derek Roy Finn | Physical Therapist | 2865 Lynnhaven Dr Ste C3, Virginia Beach, VA 23451-1544 | 2019-12-16 |
| 1649365594 | David M Volkringer | Physical Therapist | 1016 First Colonial Rd, Virginia Beach, VA 23454 | 2006-10-04 |
| 1801980677 | Patricia Jeanne Turczany | Physical Therapist | 1016 First Colonial Road, Virginia Beach, VA 23454 | 2006-10-03 |
| 1447258611 | Michele M Laneve | Physical Therapist | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2005-07-12 |
| 1649881509 | Joint Force Physical Therapy LLC | Physical Therapist | 410 25 1/2 St, Virginia Beach, VA 23451-3109 | 2020-08-13 |
| 1568946309 | Meghan Helvig Gibbs | Physical Therapist | 2404 Potters Rd Ste 400, Virginia Beach, VA 23454-4335 | 2018-09-18 |
| 1386188902 | Sara E Daley | Physical Therapist | 2135 General Booth Blvd, Ste. 152, Virginia Beach, VA 23454-5881 | 2016-12-16 |
| 1538545108 | Maryalicia Kohut | Physical Therapist | 968 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3171 | 2015-08-06 |
| 1154676757 | Megan E Grable | Physical Therapist | 968 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3171 | 2012-07-19 |
| 1619240033 | Best Life Physical Therapy and Sports Medicine | Physical Therapist | 2404 Potters Rd Ste 400, Virginia Beach, VA 23454-4335 | 2012-02-15 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on DR. ANDREW BLACK III.
| 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.