Robert W Lyman, DPT | |
4214 Fortuna Center Plz, Dumfries, VA 22025-1515 | |
(571) 402-2098 | |
(434) 951-2194 |
Full Name | Robert W Lyman |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4214 Fortuna Center Plz, Dumfries, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043687965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305209679 (Virginia) | Primary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
---|---|
Robert W Lyman, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 373-2919 | Robert W Lyman, DPT 4214 Fortuna Center Plz, Dumfries, VA 22025-1515 Ph: (571) 402-2098 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Teonette O Velasco, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17453 Jefferson Davis Hwy, Dumfries, VA 22026 Phone: 703-221-3913 Fax: 703-221-3203 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |