NPI Registry.org

Reboot Functional Health Care Corporation

NPI Registration Record

Provider / OrganizationNPIDate Certified
REBOOT FUNCTIONAL HEALTH CARE CORPORATION14277095262022-01-11

The organization Reboot Functional Health Care Corporation is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1427709526. Registration indicates Reboot Functional Health Care Corporation is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationREBOOT FUNCTIONAL HEALTH CARE CORPORATION
Practice Office Address2528 LAS BRISAS DR
VIRGINIA BEACH, VA US
Practice Office Telephone7573016985
Mailing Address2528 LAS BRISAS DR
VIRGINIA BEACH, VA 234564264 US
Business Telephone7573016985
Authorized OfficialLAURIE DIERSTEIN, OWNER/AUTHORIZE
7573016985
HPT Codes
CodePractice
License No
State
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
193400000X SINGGroup Code
OPI Codes
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