Mr Cory Wirt, PT, MS PT, TPI-CGFI | |
6049 Harbour Park Drive, Midlothian, VA 23112 | |
(804) 639-2359 | |
(804) 639-2029 |
Full Name | Mr Cory Wirt |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 6049 Harbour Park Drive, Midlothian, 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 |
---|---|---|---|
1215990122 | NPI | - | NPPES |
P00398183 | Other | VA | RAILROAD MEDICARE |
192944 | Other | VA | BCBS PHYSICAL THERAPY |
010157692 | Medicaid | VA | |
3909474 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305202875 (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 |
---|---|
Mr Cory Wirt, PT, MS PT, TPI-CGFI 771 Pilot House Dr, Suite A, Newport News, VA 23606-1990 Ph: (757) 873-2302 | Mr Cory Wirt, PT, MS PT, TPI-CGFI 6049 Harbour Park Drive, Midlothian, VA 23112 Ph: (804) 639-2359 |
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 | |
Michael Blake, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-320-4064 | |
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 |