Provider Demographics
NPI:1487724605
Name:MINNEAR, TODD JASON (MPT)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:JASON
Last Name:MINNEAR
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:17120 ENGLISH WALNUT RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERDAM
Mailing Address - State:VA
Mailing Address - Zip Code:23015-1752
Mailing Address - Country:US
Mailing Address - Phone:804-227-3983
Mailing Address - Fax:
Practice Address - Street 1:8906 W BROAD ST
Practice Address - Street 2:SUITE F
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5827
Practice Address - Country:US
Practice Address - Phone:804-965-9990
Practice Address - Fax:804-965-0997
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA23052039072251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496628Medicare ID - Type UnspecifiedMEDICARE NUMBER