Matthew A Mailloux, PT, DPT, OCS | |
7493 Right Flank Rd Ste 410, Mechanicsville, VA 23116-3846 | |
(804) 569-7091 | |
(804) 569-7094 |
Full Name | Matthew A Mailloux |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 7493 Right Flank Rd Ste 410, Mechanicsville, 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 |
---|---|---|---|
1730475260 | NPI | - | NPPES |
1730475260 | Medicaid | VA | |
225579 | Other | VA | BCBS (PHYSICAL THERAPY) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305206966 (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 |
---|---|
Matthew A Mailloux, PT, DPT, OCS Po Box 69030, Baltimore, MD 21264-9030 Ph: (757) 873-2302 | Matthew A Mailloux, PT, DPT, OCS 7493 Right Flank Rd Ste 410, Mechanicsville, VA 23116-3846 Ph: (804) 569-7091 |
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 |