Ms Kelly L Dortch, DPT | |
100 Wimbledon Sq, Chesapeake, VA 23320-4931 | |
(757) 547-5145 | |
(757) 436-2480 |
Full Name | Ms Kelly L Dortch |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 100 Wimbledon Sq, Chesapeake, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083803605 | NPI | - | NPPES |
1192880 | Other | TX | STATE LICENSE NUMBER |
2305205166 | Other | VA | VA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305205166 (Virginia) | Secondary |
225100000X | Physical Therapist | 1192880 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aquatic Physical Therapy And Beyond, Llc | 2668450008 | 5 |
Provider Name | Aquatic Physical Therapy & Beyond, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861462558 PECOS PAC ID: 2668450008 Enrollment ID: O20040712000662 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly L Dortch, DPT 14703 Eagle Vista Dr, Building 601, Houston, TX 77077-5394 Ph: (281) 249-7103 | Ms Kelly L Dortch, DPT 100 Wimbledon Sq, Chesapeake, VA 23320-4931 Ph: (757) 547-5145 |
Michelle Lynn Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Volvo Pkwy, Chesapeake, VA 23320 Phone: 757-547-3135 | |
Edwin Bryce Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Technology Dr Ste 102, Chesapeake, VA 23320 Phone: 757-227-7600 | |
Ms. May Dimabuyu Monzon, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Cedar Rd, Chesapeake, VA 23322 Phone: 757-547-4528 | |
Whitney Marie Randall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 Phone: 757-819-6512 Fax: 757-819-6517 | |
Kirsteen Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 Dock Landing Rd, Chesapeake, VA 23321 Phone: 757-465-6300 | |
Derrick Hale Baskin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Pkwy Ste 101, Chesapeake, VA 23323 Phone: 757-388-9950 | |
Dr. Sandra Federico, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Poplar Hill Rd Ste B, Chesapeake, VA 23321 Phone: 757-776-3088 |