Addison Lang, | |
9 Manhattan Sq Ste B, Hampton, VA 23666-6263 | |
(757) 825-3400 | |
Not Available |
Full Name | Addison Lang |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 9 Manhattan Sq Ste B, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700517521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305215115 (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 |
---|---|
Addison Lang, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 373-2919 | Addison Lang, 9 Manhattan Sq Ste B, Hampton, VA 23666-6263 Ph: (757) 825-3400 |
Tyler Martin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1618 Hardy Cash Dr, Hampton, VA 23666 Phone: 757-344-3390 | |
Jaclyn M Caddy, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Manhattan Square, Ste B, Hampton, VA 23666 Phone: 757-825-3400 Fax: 757-825-0392 | |
Eric Neil Dumas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2106 Executive Dr, Hampton, VA 23666 Phone: 757-838-6678 | |
Melanie Nicole Oakes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2220 Executive Dr, Hampton, VA 23666 Phone: 757-330-8866 | |
Mrs. Beth Richardson, MHED PT OCS CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Manhattan Square, Ste B, Hampton, VA 23666 Phone: 757-825-3400 Fax: 757-825-0392 | |
Pamela O Tucker, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Marcella Rd, Ste E, Hampton, VA 23666 Phone: 757-825-9446 Fax: 757-825-9476 | |
Julie Ann Szabo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1030 Topping Ln, Hampton, VA 23666 Phone: 757-504-3559 |