Jeremy L Mccullough, PT, DPT, CSCS | |
15331 Creativity Dr # 960, Culpeper, VA 22701 | |
(840) 317-0888 | |
(540) 739-7475 |
Full Name | Jeremy L Mccullough |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 15331 Creativity Dr # 960, Culpeper, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043747983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P17168 (North Carolina) | Secondary |
225100000X | Physical Therapist | 2305211812 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tidewater Physical Therapy Llc | 6406759281 | 188 |
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 |
---|---|
Jeremy L Mccullough, PT, DPT, CSCS Po Box 60930, Baltimore, MD 21264-9030 Ph: (757) 873-2302 | Jeremy L Mccullough, PT, DPT, CSCS 15331 Creativity Dr # 960, Culpeper, VA 22701 Ph: (840) 317-0888 |
David W Stackhouse, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 663 Sunset Ln, Culpeper, VA 22701 Phone: 540-825-5362 Fax: 540-829-0420 | |
Virginia Orthopaedic Center P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 663 Sunset Ln, Culpeper, VA 22701 Phone: 540-825-5362 Fax: 540-829-0420 | |
Minh Hang, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Village Loop, Culpeper, VA 22701 Phone: 540-321-1159 | |
Shellee May Pelayo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16260 Bennett Rd, Culpeper, VA 22701 Phone: 540-727-0737 | |
Mr. Fernando Arturo Campos, PT, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16260 Bennett Rd, Culpeper, VA 22701 Phone: 540-727-0737 Fax: 540-727-0738 | |
Samuel Snelgrove, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16260 Bennett Rd, Culpeper, VA 22701 Phone: 540-727-0737 Fax: 540-727-0738 |