Andrew Peterson, PT, DPT | |
320b Charles H Dimmock Pkwy Ste 6, Colonial Heights, VA 23834-2938 | |
(804) 524-0533 | |
Not Available |
Full Name | Andrew Peterson |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 320b Charles H Dimmock Pkwy Ste 6, Colonial Heights, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679028534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT291814 (California) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Provider Name | Virginia Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961 |
Mailing Address | Practice Location Address |
---|---|
Andrew Peterson, PT, DPT 320b Charles H Dimmock Pkwy Ste 6, Colonial Heights, VA 23834-2938 Ph: (804) 524-0533 | Andrew Peterson, PT, DPT 320b Charles H Dimmock Pkwy Ste 6, Colonial Heights, VA 23834-2938 Ph: (804) 524-0533 |
Michelle Candice Crouse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-526-5888 Fax: 804-526-5401 | |
William Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-452-4903 | |
Roya Kordi Mirshahi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Charles Dimmock Parkway, Suite 6, Colonial Heights, VA 23834 Phone: 804-524-0533 Fax: 804-524-0133 | |
Kavita V Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Swift Bluff Dr, Colonial Heights, VA 23834 Phone: 804-536-4412 | |
Zachary J. Muscato, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 Fax: 804-524-9039 | |
Alicia Blackham Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 | |
Scott Rotsted, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834 Phone: 804-526-6062 Fax: 804-526-9094 |