Tidewater Physical Therapy, Llc | |
300 B Temple Lake Drive, Suite 1, Colonial Heights, VA 23834-2938 | |
(804) 524-9036 | |
(804) 524-9039 |
Full Name | Tidewater Physical Therapy, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 300 B Temple Lake Drive, Colonial Heights, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508898354 | NPI | - | NPPES |
192947 | Other | VA | ANTHEM BCBS (OT) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Tidewater Physical Therapy, Llc 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Tidewater Physical Therapy, Llc 300 B Temple Lake Drive, Suite 1, Colonial Heights, VA 23834-2938 Ph: (804) 524-9036 |
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 |