# VIRTUE MEDICAL PHYSICAL THERAPY, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRTUE MEDICAL GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760158596
- **Legal business name:** VIRTUE MEDICAL GROUP, LLC
- **Authorized official:** DANI DAVIS M.ED (COO)
- **Authorized official phone:** (906) 382-5064

## Contact information

- **Practice address:** 1703 16TH ST STE D, BRIDGEPORT, TX 76426-2179
- **Practice address phone:** (940) 255-6552
- **Practice address fax:** (940) 202-7058
- **Mailing address:** PO BOX 1500, BRIDGEPORT, TX 76426-1500
- **Mailing address phone:** (940) 255-6552
- **Mailing address fax:** (940) 202-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 08/20/2021