Charles Paulus Iv, DPT | |
1935 W Main St, Salem, VA 24153-3109 | |
(540) 302-0190 | |
(540) 302-0191 |
Full Name | Charles Paulus Iv |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1935 W Main St, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184005423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2305209481 (Virginia) | Secondary |
225100000X | Physical Therapist | 2305209481 (Virginia) | Primary |
Provider Name | Direct Performance Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871998278 PECOS PAC ID: 1951627934 Enrollment ID: O20150310001923 |
Mailing Address | Practice Location Address |
---|---|
Charles Paulus Iv, DPT 1935 W Main St, Salem, VA 24153-3109 Ph: (540) 302-0190 | Charles Paulus Iv, DPT 1935 W Main St, Salem, VA 24153-3109 Ph: (540) 302-0190 |
Daniel Goold Miner, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
William Bays Gibson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2119 Apperson Dr, Salem, VA 24153 Phone: 540-772-8022 Fax: 540-527-0055 | |
Advanced Physical Therapy Of Virginia Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Apperson Dr, Salem, VA 24153 Phone: 540-444-0291 Fax: 540-444-0293 | |
Amy Beth Foutz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1935 W Main St, Salem, VA 24153 Phone: 540-302-0190 Fax: 540-302-0191 | |
Miss Nicole Layne Craft, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3939 Daughtery Road, Salem, VA 24153 Phone: 540-380-2685 | |
Holly Poffenberger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2119 Apperson Dr, Salem, VA 24153 Phone: 540-685-0168 Fax: 540-685-0169 | |
Brenda Skelton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-1463 |