IVYREHAB SEPT, LLC (NPI# 1982657433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982657433 |
| Entity Type | Organization |
| Organization Name | IVYREHAB SEPT, LLC |
| Other Organization Name | SOUTHEASTERN PHYSICAL THERAPY |
| Practice Address |
5301 Providence Rd Suite 80 Virginia Beach VA 23464-4128 |
| Practice Telephone | 7574674604 |
| Practice Fax Number | 7574672716 |
| Mailing Telephone | 7574671900 |
| Mailing Fax Number | 7574677900 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-11-20 |
| 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 |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| SOUTHEASTERN PHYSICAL THERAPY | 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 |
| 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 |
| 1275024655 | Ivyrehab Sept, LLC | Physical Medicine & Rehabilitation | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2018-05-22 |
| Street Address |
5301 PROVIDENCE RD SUITE 80 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603182 | Rachel Hunter | Social Worker | 5301 Providence Rd, Virginia Beach, VA 23464-4128 | 2019-08-08 |
| 1245745603 | Dona Michelle Stover | Social Worker | 5301 Providence Rd, Virginia Beach, VA 23464-4128 | 2017-12-07 |
| 1952855603 | Megan Newcomb | Occupational Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-08-11 |
| 1669925772 | Susan Pitcher | Speech-Language Pathologist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-07-26 |
| 1922450386 | Kathryn Peery Fuerst | Speech-Language Pathologist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-07-11 |
| 1174973101 | Kasie Healey | Speech-Language Pathologist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-06-21 |
| 1033567011 | Danielle Meghan Davis | Physical Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-05-31 |
| 1225486673 | William Memery | Physical Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-05-26 |
| 1265889497 | Brittany Joe Mowfy | Speech-Language Pathologist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-05-18 |
| 1801259932 | Meagan Floyd Grubbs | Occupational Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| 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 |
|---|---|---|---|---|
| 1730789108 | Chelsea Rae Edmondson | Physical Therapist | 2728 Virginia Beach Blvd, Virginia Beach, VA 23452-7615 | 2020-10-27 |
| 1386243004 | Amanda Lin Bliek | Physical Therapist | 816 Independence Blvd Ste 3f, Virginia Beach, VA 23455-6010 | 2020-10-23 |
| 1326655937 | Coastal Therapy Group Inc | Physical Therapist | 1100 Laskin Rd, Virginia Beach, VA 23451-5274 | 2020-09-28 |
| 1619596905 | Re Active Therapy and Wellness Pllc | Physical Therapist | 2624 Lotus Creek Dr, Virginia Beach, VA 23456-6461 | 2020-04-16 |
| 1972147676 | Jose Rivera Paredes Jr. | Physical Therapist | 5612 Rushmere Dr, Virginia Beach, VA 23464-6751 | 2019-11-05 |
| 1427619097 | David Furrow | Physical Therapist | 2247 W Great Neck Rd, Virginia Beach, VA 23451-1556 | 2019-06-25 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1396301560 | Bethany Labossier | Physical Therapist | 2117 Mccomas Way Ste 105, Virginia Beach, VA 23456-3908 | 2019-05-14 |
| 1881186450 | Kiley Fletcher | Physical Therapist | 2247 W Great Neck Rd Ste 101, Virginia Beach, VA 23451-1556 | 2018-05-30 |
| 1841797263 | Alysia Rae Parker | Physical Therapist | 5604 Virginia Beach Blvd Unit A, Virginia Beach, VA 23462-5631 | 2018-04-11 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
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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.