Matthew G Burress, PT | |
456 Charles H Dimmock Pkwy, Colonial Heights, VA 23834-2936 | |
(804) 520-8366 | |
(804) 520-8368 |
Full Name | Matthew G Burress |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 456 Charles H Dimmock Pkwy, Colonial Heights, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982095402 | NPI | - | NPPES |
K949 - 0076 | Other | VA | CAREFIRST |
2307001177 | Other | VA | DIRECT ACCESS CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305209263 (Virginia) | Primary |
Provider Name | Advanced Work Rehab Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548676307 PECOS PAC ID: 3870969397 Enrollment ID: O20221220000237 |
Mailing Address | Practice Location Address |
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Matthew G Burress, PT 5252 Lyngate Ct, Ste 203, Burke, VA 22015-1672 Ph: (703) 239-2300 | Matthew G Burress, PT 456 Charles H Dimmock Pkwy, Colonial Heights, VA 23834-2936 Ph: (804) 520-8366 |
Michelle Candice Crouse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-526-5888 Fax: 804-526-5401 | |
William Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-452-4903 | |
Roya Kordi Mirshahi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Charles Dimmock Parkway, Suite 6, Colonial Heights, VA 23834 Phone: 804-524-0533 Fax: 804-524-0133 | |
Kavita V Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Swift Bluff Dr, Colonial Heights, VA 23834 Phone: 804-536-4412 | |
Zachary J. Muscato, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 Fax: 804-524-9039 | |
Alicia Blackham Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 | |
Scott Rotsted, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834 Phone: 804-526-6062 Fax: 804-526-9094 |