Jordan Lee, | |
65 Shenandoah Ave Ste 203, Daleville, VA 24083-3205 | |
(540) 352-4304 | |
(540) 591-7340 |
Full Name | Jordan Lee |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 65 Shenandoah Ave Ste 203, Daleville, 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 |
---|---|---|---|
1801386735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211889 (Virginia) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tidewater Physicians Multispecialty Group Pc | 2860398526 | 252 |
Provider Name | Tidewater Physicians Multispecialty Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
Mailing Address | Practice Location Address |
---|---|
Jordan Lee, 825 Davis St Ste B, Blacksburg, VA 24060-7009 Ph: (540) 352-4304 | Jordan Lee, 65 Shenandoah Ave Ste 203, Daleville, VA 24083-3205 Ph: (540) 352-4304 |
University Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-352-4304 Fax: 540-591-7340 | |
Jourdan Paige Bushman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-381-9100 | |
Tayler Lynn Lewis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 201, Daleville, VA 24083 Phone: 540-591-7514 | |
Audrey A Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Roanoke Rd, Suite 100, Daleville, VA 24083 Phone: 540-992-4801 Fax: 540-992-1669 | |
Harold W Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Roanoke Rd, Daleville, VA 24083 Phone: 540-992-4801 Fax: 540-992-1669 | |
Caitlyn Ashley Overbay Delaney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Catawba Rd Ste 201, Daleville, VA 24083 Phone: 540-992-4801 | |
Caleb Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Catawba Rd Ste 201, Daleville, VA 24083 Phone: 540-992-4801 |