Jeffrey John Diepold, PT | |
8266 Atlee Rd, Suite 133pt, Mechanicsville, VA 23116-1804 | |
(804) 569-1665 | |
(804) 569-1628 |
Full Name | Jeffrey John Diepold |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8266 Atlee Rd, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285890988 | NPI | - | NPPES |
1285890988 | Medicaid | VA | |
P00630296 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305205531 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
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 |
---|---|
Jeffrey John Diepold, PT 1115 Boulders Pkwy, Suite 200, North Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Jeffrey John Diepold, PT 8266 Atlee Rd, Suite 133pt, Mechanicsville, VA 23116-1804 Ph: (804) 569-1665 |
Carrie S Christ, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-1001 | |
Danielle Nunn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8201 Atlee Rd Ste D, Mechanicsville, VA 23116 Phone: 804-569-1787 Fax: 804-569-9787 | |
Rebecca Mannion, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-342-4358 Fax: 804-342-4316 | |
Karli Murray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-1001 Fax: 804-342-4316 | |
Susannah Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-7634 | |
Lori Blair, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-342-4300 Fax: 804-342-4316 | |
Nicole Doolen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7600 Autumn Park Way, Mechanicsville, VA 23116 Phone: 804-730-0009 |