Michael Blake, DPT | |
13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | |
(804) 320-4064 | |
Not Available |
Full Name | Michael Blake |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 13801 St Francis Blvd Ste 200, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043948060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2305215230 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Mailing Address | Practice Location Address |
---|---|
Michael Blake, DPT Po Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 915-1910 | Michael Blake, DPT 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 Ph: (804) 320-4064 |
Kathryn Marie Logsdon, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2900 Calcutt Drive, Midlothian, VA 23113 Phone: 804-201-5175 | |
Lori H Atkinson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11621 Robious Rd, Midlothian, VA 23113 Phone: 804-794-7587 Fax: 804-794-4560 | |
Rachel Rand Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Watkins Centre Pkwy Ste 300, Midlothian, VA 23114 Phone: 804-325-8822 Fax: 804-794-3986 | |
Caitlin Wynings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-915-1910 | |
Kasey Henderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Walton Park Ln, Midlothian, VA 23114 Phone: 804-560-9575 Fax: 804-560-9557 | |
Angela Diverdi-payne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 |