Provider Demographics
NPI:1023082070
Name:REED, VIRGINIA PLEASANTS (DPT)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:PLEASANTS
Last Name:REED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:PLEASANTS
Other - Last Name:STRATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:18900 N TAMIAMI TRAIL
Mailing Address - Street 2:SUITE A-5
Mailing Address - City:NORTH FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903
Mailing Address - Country:US
Mailing Address - Phone:239-731-6222
Mailing Address - Fax:239-731-6555
Practice Address - Street 1:18900 N TAMIAMI TRAIL
Practice Address - Street 2:SUITE A-5
Practice Address - City:NORTH FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903
Practice Address - Country:US
Practice Address - Phone:239-731-6222
Practice Address - Fax:239-731-6555
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3763AMedicare UPIN