Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fedserve Hampton Roads

Organization Physical Therapy Assistant · NPI 1174473433

Fedserve Hampton Roads is a Physical Therapy Assistant in Norfolk, Virginia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

901 Hampton Blvd Ste 302
Norfolk, VA 23507-1503
Phone: (301) 841-5077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1174473433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Odukoya — Owner · (301) 841-5077
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address4789 Cherokee St, College Park, MD 20740-1816

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