OrganizationActive
Physiatry-Sports & Family Medicine, LLC
NPI 1770980757 · Multi-Specialty Clinic/Center · Chesapeake, VA
Provider details
- NPI number
- 1770980757
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Travis Lee, President(757) 366-0200
- License
- 0101241301 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2147 Old Greenbrier Rd
Suite B
Chesapeake, VA 23320-2635
Phone: (757) 366-0200
Street-level locationGet directions
Mailing address
Po Box 15763
Chesapeake, VA 23328-5763
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2015-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.