Provider Demographics
NPI:1215994058
Name:BELFIELD PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:BELFIELD PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BELFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:804-333-8222
Mailing Address - Street 1:PO BOX 1648
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-1648
Mailing Address - Country:US
Mailing Address - Phone:804-333-8222
Mailing Address - Fax:804-333-8228
Practice Address - Street 1:4562 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-3141
Practice Address - Country:US
Practice Address - Phone:804-333-8222
Practice Address - Fax:804-333-8228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010137471Medicaid
VA010137471Medicaid