IVYREHAB SEPT, LLC (NPI# 1871081042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871081042 |
| Entity Type | Organization |
| Organization Name | IVYREHAB SEPT, LLC |
| Other Organization Name | SOUTHEASTERN THERAPY FOR KIDS |
| Practice Address |
41 Old Oyster Point Rd Ste E Newport News VA 23602-7177 |
| Mailing Address |
4668 Pembroke Blvd Ste 115 Virginia Beach VA 23455-6423 |
| Practice Telephone | 7572231466 |
| Practice Fax Number | 7572231467 |
| Mailing Telephone | 7576488562 |
| Mailing Fax Number | 7576488564 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | KENNETH MILES (EVP/CFO) |
| Authorized Official Telephone | 9147778700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 96660 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHEASTERN PHYSICAL THERAPY | Doing Business As Name - Organization |
| Southeastern Therapy for Kids | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326539719 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 12610 Patrick Henry Dr Ste H, Newport News, VA 23602-9538 | 2018-05-22 |
| 1083155246 | Ivyrehab Sept, LLC | Occupational Therapist | 1622 Timberwood Boulevard, Suite 211, Charlottesville, VA 22911-7573 | 2017-03-20 |
| 1235582479 | Ivyrehab Sept, LLC | Occupational Therapist | 16260 Bennett Rd, Culpeper, VA 22701-4630 | 2016-07-22 |
| 1306225339 | Ivyrehab Sept, LLC | Occupational Therapist | 70 Jefferson Court, Suite 102, Zion Crossroads, VA 22942 | 2015-05-22 |
| 1427385780 | Ivyrehab Sept, LLC | Physical Therapist | 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 | 2009-11-06 |
| 1235356163 | Ivyrehab Sept, LLC | Occupational Therapist | 3509 Granby St, Suite B, Norfolk, VA 23504-1312 | 2007-04-20 |
| 1437376225 | Ivyrehab Sept, LLC | Physical Therapist | 138 Stoneridge Dr N, Suite 4, Ruckersville, VA 22968-3063 | 2007-04-20 |
| 1982657433 | Ivyrehab Sept, LLC | Occupational Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2006-05-18 |
| 1174014559 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 3501 Festival Park Plz, Chester, VA 23831-4449 | 2018-05-22 |
| 1790276178 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321-2452 | 2018-05-22 |
| Street Address |
41 OLD OYSTER POINT RD STE E |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-7177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016446 | Cari Field | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602 | 2013-07-22 |
| 1861019325 | Danielle Kidd | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2020-07-01 |
| 1992344881 | Maria Kateri Hoppel | Occupational Therapist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2019-12-25 |
| 1942867957 | Stephanie Norris | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2019-05-24 |
| 1316430416 | Marguerite Regina Smith | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2018-06-13 |
| 1457844276 | Emily Rose Lydon | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099160 | Amanda Slack | Physical Therapist | 108 Burnham Pl, Newport News, VA 23606-2611 | 2020-10-08 |
| 1720635659 | Quadeisha Demetria Heckstall | Physical Therapist | 11745 Jefferson Ave Ste 4, Newport News, VA 23606-4410 | 2019-08-26 |
| 1063989713 | Elizabeth Emerson | Physical Therapist | 439 Oriana Rd Ste C, Newport News, VA 23608-3702 | 2018-10-31 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1487193561 | Leigh Schuster | Physical Therapist | 13030 Warwick Blvd, Newport News, VA 23602-8374 | 2017-02-22 |
| 1710424742 | Stacey Shuler | Physical Therapist | 5901 Potomac Ave, Newport News, VA 23605-2129 | 2017-01-29 |
| 1225410020 | Brittney Lee Kortz | Physical Therapist | 704 Thimble Shoals Blvd Ste 400a, Newport News, VA 23606-4561 | 2015-06-29 |
| 1003216300 | Thomas Weniger | Physical Therapist | 298 Nat Turner Blvd S, Newport News, VA 23606-3074 | 2014-08-25 |
| 1316187487 | Donald E. Collins | Physical Therapist | 76 Coachman Cir, Newport News, VA 23608-3104 | 2009-03-02 |
| 1194986513 | David Dean Crosson | Physical Therapist | 204 Nat Turner Blvd S, Newport News, VA 23606-2899 | 2008-06-18 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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| 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.