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

Old Dominion University

Organization Physical Therapist · NPI 1871929729

Old Dominion University is a Physical Therapist in Norfolk, Virginia. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4

Practice location Address checks out

1019 W 41st St
Norfolk, VA 23529-0001
Phone: (757) 683-7041
Fax: (757) 683-4410
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1871929729
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOld Dominion University
Authorized official Lisa Koperna — Clinic Director · (757) 683-7041
Other names Odu Monarch Physical Therapy
NPI enumeratedSeptember 24, 2013
Last updated in NPPESSeptember 2, 2025
Certification dateJune 14, 2024
Mailing address1019 W 41st St, Norfolk, VA 23529-0001

Other providers in Norfolk