Provider Demographics
NPI:1396762175
Name:RYMAN, MELISSA A (PT, DPT, ATC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:A
Last Name:RYMAN
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:CHEWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 69030
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-9030
Mailing Address - Country:US
Mailing Address - Phone:757-873-2306
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:9980 BROOK RD UNIT 16
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-6501
Practice Address - Country:US
Practice Address - Phone:804-550-5730
Practice Address - Fax:804-550-5733
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00404714OtherRAILROAD MEDICARE
VA1396762175Medicaid
VA192944OtherBCBS (PHYSICAL THERAPY)
VA7734905OtherAETNA
VA192944OtherBCBS (PHYSICAL THERAPY)
VAP00404714OtherRAILROAD MEDICARE