| Advanced Physical Therapy, Inc. | |
|
108 Walton Park Ln, Midlothian, VA 23114-3028 | |
| (804) 560-9575 | |
| (804) 560-9557 |
| Full Name | Advanced Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 108 Walton Park Ln, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952386203 | NPI | - | NPPES |
| 114480 | Other | ANTHEM | |
| 6400314 | Other | UHC | |
| 7933191 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Timothy J Wittenauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417933953 PECOS PAC ID: 1254317779 Enrollment ID: I20111222000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Physical Therapy, Inc. 108 Walton Park Ln, Midlothian, VA 23114-3028 Ph: (804) 560-9575 | Advanced Physical Therapy, Inc. 108 Walton Park Ln, Midlothian, VA 23114-3028 Ph: (804) 560-9575 |
Kathryn Marie Logsdon, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2900 Calcutt Drive, Midlothian, VA 23113 Phone: 804-201-5175 | |
Lori H Atkinson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11621 Robious Rd, Midlothian, VA 23113 Phone: 804-794-7587 Fax: 804-794-4560 | |
Rachel Rand Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Watkins Centre Pkwy Ste 300, Midlothian, VA 23114 Phone: 804-325-8822 Fax: 804-794-3986 | |
Michael Blake, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-320-4064 | |
Caitlin Wynings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-915-1910 | |
Kasey Henderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Walton Park Ln, Midlothian, VA 23114 Phone: 804-560-9575 Fax: 804-560-9557 | |
Angela Diverdi-payne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 |