Provider Demographics
NPI:1992730154
Name:LEVINE, ROBIN SHUMAN (PT)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:SHUMAN
Last Name:LEVINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5665 LOWERY ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2220
Mailing Address - Country:US
Mailing Address - Phone:757-422-2966
Mailing Address - Fax:757-422-9241
Practice Address - Street 1:5665 LOWERY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2220
Practice Address - Country:US
Practice Address - Phone:757-422-2966
Practice Address - Fax:757-422-9241
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist