Individual
DR. GREGORY STUART SYVERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CFT,CCI
Contact information
Practice address
5859 HARBOUR VIEW BLVD STE 100, SUFFOLK, VA 23435-3015
(757) 686-0205
(757) 686-0206
Mailing address
5851 HARBOUR VIEW BLVD., SUITE 100, SUFFOLK, VA 23435
(757) 686-0205
(757) 686-0206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0001489
WV
225100000X
Physical Therapist
Primary
2305208561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714553
MSBCBS INDIVIDUAL PIN
WV
01
—
1064530
BRICKSTREET WC
WV
01
—
5534228
FIRST HEALTH
WV
01
—
612406500
DOL FECA
WV
01
—
697891
UNITED HEALTH CARE
WV
01
—
7239017
AETNA
WV
01
—
87316
UNICARE
WV
05
—
9420008-000
—
WV
Enumeration date
11/29/2005
Last updated
03/18/2026
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