Provider Demographics
NPI:1578728788
Name:PILATES CENTRAL LLC
Entity Type:Organization
Organization Name:PILATES CENTRAL LLC
Other - Org Name:CENTRAL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOUMEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-464-3000
Mailing Address - Street 1:PO BOX 68076
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23471-8076
Mailing Address - Country:US
Mailing Address - Phone:757-464-3000
Mailing Address - Fax:757-965-2432
Practice Address - Street 1:401 GRANBY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1913
Practice Address - Country:US
Practice Address - Phone:757-464-3000
Practice Address - Fax:757-965-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050062402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAQ35172Medicare UPIN