| Dr Jose Juan Garcia Granados, PT, DPT | |
|
5629 Plank Rd, Fredericksburg, VA 22407-7216 | |
| (540) 445-0206 | |
| Not Available |
| Full Name | Dr Jose Juan Garcia Granados |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5629 Plank Rd, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669110110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21315 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | CP011793T (Virginia) | Primary |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| 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 |
|---|---|
| Dr Jose Juan Garcia Granados, PT, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 373-2919 | Dr Jose Juan Garcia Granados, PT, DPT 5629 Plank Rd, Fredericksburg, VA 22407-7216 Ph: (540) 445-0206 |
Dr. Derreck Dixon, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4701 Spotsylvania Pkwy Ste 106, Fredericksburg, VA 22407 Phone: 540-710-0100 | |
Children's Hospital Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Lee's Hill Medical Center 10530 Spotsylvania Ave, Children's Hospital Therapy Center Suite 102, Fredericksburg, VA 22408 Phone: 540-861-4485 Fax: 540-861-4486 | |
Ms. Susan Reiko Hoshi, PT, MSA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 549-741-1545 Fax: 540-741-1543 | |
Mrs. April Dawn Honaker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1547 | |
Mrs. Kathryn Joy Bredbenner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1542 | |
Patricia Joan Geberth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5040 Plank Rd, Fredericksburg, VA 22407 Phone: 540-786-4549 | |
Rebecca Marie Bove, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10530 Spotsylvania Ave, Fredericksburg, VA 22408 Phone: 540-891-4485 |