Provider Demographics
NPI:1508856972
Name:CAPPS, VIRGINIA W (PT)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:W
Last Name:CAPPS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:W
Other - Last Name:POLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1309 BELLE-AIRE LANE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1258
Mailing Address - Country:US
Mailing Address - Phone:540-314-1749
Mailing Address - Fax:540-362-3699
Practice Address - Street 1:5220 WILLIAMSON RD. SUITE E
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-1700
Practice Address - Country:US
Practice Address - Phone:540-362-3700
Practice Address - Fax:540-360-3699
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist