Trevor Wade, DPT | |
935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 | |
(276) 622-3636 | |
(276) 627-0060 |
Full Name | Trevor Wade |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 935 Fairystone Park Hwy, Stanleytown, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962156778 | NPI | - | NPPES |
2305214855 | Other | VA | BOARD OF PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305214855 (Virginia) | Primary |
Provider Name | Fowler Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598992414 PECOS PAC ID: 9234371840 Enrollment ID: O20130812000321 |
Mailing Address | Practice Location Address |
---|---|
Trevor Wade, DPT 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 | Trevor Wade, DPT 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 Ph: (276) 622-3636 |
Samantha L. Giles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Cassidy Gilmore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
Ashley Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 | |
O&w Enterprises Physical Therapist Medicare: Medicare Enrolled Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-622-3636 | |
Summer Hoyle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 888-724-0268 | |
Morgan Mcpherson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 935 Fairystone Park Hwy, Stanleytown, VA 24168 Phone: 276-622-3636 Fax: 276-627-0060 |