Provider Demographics
NPI:1225089311
Name:FOXX, SUZANNE R (DPT)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:R
Last Name:FOXX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 JEFFERSON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2062
Mailing Address - Country:US
Mailing Address - Phone:757-595-9595
Mailing Address - Fax:757-595-0595
Practice Address - Street 1:11711 JEFFERSON AVE STE B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2062
Practice Address - Country:US
Practice Address - Phone:757-595-9595
Practice Address - Fax:757-595-0595
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052043082251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA286904OtherANTHEM BCBS
541585928OtherTRICARE
541585928OtherALL OTHER INS
541585928OtherALL OTHER INS
VA009718P27Medicare ID - Type Unspecified