Provider Demographics
NPI:1730126699
Name:POHNERT, TAMI S (PT)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:S
Last Name:POHNERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:SUITE 133PT
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-569-1665
Practice Address - Fax:804-569-1628
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305202106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA194768OtherANTHEM HEALTHKEEPERS
VA540885859OtherFOCUS
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherCIGNA REHAB
VA258462OtherSOUTHERN HEALTH
VA540885859OtherMULTIPLAN
VA540885859OtherCORVEL
VA98999OtherOPTIMA HEALTH
VA010206197Medicaid
VA2697629OtherAETNA HMO
VA540885859OtherCOMPMANAGEMENT
VA540885859OtherFIRST HEALTH/CCN
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA010072W25Medicare PIN
VA258462OtherSOUTHERN HEALTH
VA540885859OtherFIRST HEALTH/CCN