Provider Demographics
NPI:1225089311
Name:FOXX, SUZANNE R (DPT)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:R
Last Name:FOXX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 PATRICK HENRY DRIVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602
Mailing Address - Country:US
Mailing Address - Phone:757-874-1470
Mailing Address - Fax:757-874-1472
Practice Address - Street 1:12610 PATRICK HENRY DRIVE
Practice Address - Street 2:SUITE H
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602
Practice Address - Country:US
Practice Address - Phone:757-874-1470
Practice Address - Fax:757-874-1472
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
541585928OtherALL OTHER INS
VA286904OtherANTHEM BCBS
541585928OtherTRICARE
541585928OtherALL OTHER INS
VA009718P27Medicare ID - Type Unspecified