Virginia Long, PT | |
875 W Poplar Ave Ste 18, Collierville, TN 38017-2568 | |
(901) 850-5742 | |
(901) 850-5701 |
Full Name | Virginia Long |
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Gender | Female |
Speciality | Physical Therapist |
Location | 875 W Poplar Ave Ste 18, Collierville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013202191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8722 (Tennessee) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Provider Name | Midsouth Orthopaedic Rehabilitation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386835940 PECOS PAC ID: 2264515790 Enrollment ID: O20080207000143 |
Mailing Address | Practice Location Address |
---|---|
Virginia Long, PT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | Virginia Long, PT 875 W Poplar Ave Ste 18, Collierville, TN 38017-2568 Ph: (901) 850-5742 |
Clayton H Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Market Blvd, Suite 116, Collierville, TN 38017 Phone: 901-850-5742 | |
Mrs. Amy Culpepper Bull, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 W Poplar Ave Ste 18, Collierville, TN 38017 Phone: 901-850-5742 Fax: 901-850-5701 | |
Rahim Panjwani, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2028 W. Poplar Ave, Collierville, TN 38017 Phone: 901-850-5500 | |
Sarah Harris, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Heather Lake Cv, Collierville, TN 38017 Phone: 901-270-6962 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Wolf River Blvd, Collierville, TN 38017 Phone: 800-444-6845 | |
Trey Linville, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 622 W Poplar Ave Ste 5, Collierville, TN 38017 Phone: 901-850-5246 Fax: 901-850-5226 |