Mr Michael J Kelo, PT | |
11928 Iron Bridge Plz, Chester, VA 23831-1441 | |
(804) 366-8518 | |
(804) 778-4522 |
Full Name | Mr Michael J Kelo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 11928 Iron Bridge Plz, Chester, 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 |
---|---|---|---|
1578524203 | NPI | - | NPPES |
STF191889 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305002847 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mike Kelo Physical Therapy Pllc | 9436214160 | 2 |
Provider Name | Mike Kelo Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346499928 PECOS PAC ID: 9436214160 Enrollment ID: O20230508000100 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael J Kelo, PT 11801 Braystone Ln, Chesterfield, VA 23838-5303 Ph: (804) 366-8518 | Mr Michael J Kelo, PT 11928 Iron Bridge Plz, Chester, VA 23831-1441 Ph: (804) 366-8518 |
Mrs. Dawn Tammy Snow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13048 Rivers Bend Rd, Chester, VA 23836 Phone: 804-530-3330 Fax: 804-530-9998 | |
James P. Stroebel, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10400 Iron Bridge Rd, Chester, VA 23831 Phone: 804-796-1518 Fax: 804-796-1543 | |
Dr. Makenzi Spink Smithson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Festival Park Plz, Chester, VA 23831 Phone: 804-930-8280 Fax: 804-930-8101 | |
Diana W Brooks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10400 Iron Bridge Rd, Chester, VA 23831 Phone: 804-796-1518 Fax: 804-796-1543 | |
Nicole B Sandridge, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13048 Rivers Bend Rd, Chester, VA 23836 Phone: 804-523-0333 Fax: 804-530-9998 | |
Amy Willingham Dodd, MSPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 13904 Twin Cliffs Ln, Chester, VA 23831 Phone: 804-399-8680 | |
Kellie Taylor Hoffman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3509 Festival Park Plz, Chester, VA 23831 Phone: 804-946-1250 |