Zachary Douglass, | |
1717 Will O Wisp Dr, Virginia Beach, VA 23454-3102 | |
(757) 422-8476 | |
Not Available |
Full Name | Zachary Douglass |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1717 Will O Wisp Dr, Virginia Beach, 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 |
---|---|---|---|
1891460101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305214622 (Virginia) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Direct Performance Physical Therapy, Llc | 1951627934 | 23 |
Provider Name | Direct Performance Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871998278 PECOS PAC ID: 1951627934 Enrollment ID: O20150310001923 |
Mailing Address | Practice Location Address |
---|---|
Zachary Douglass, 1717 Will O Wish Drive, Suite 100, Virginia Beach, VA 23455-2731 Ph: (757) 422-8476 | Zachary Douglass, 1717 Will O Wisp Dr, Virginia Beach, VA 23454-3102 Ph: (757) 422-8476 |
Celso Chavez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Lake Havasu Dr, Virginia Beach, VA 23454 Phone: 609-381-9803 | |
Janice Anne Barrera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464 Phone: 757-467-1900 Fax: 757-467-7900 | |
Lindsey Pauley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455 Phone: 577-648-8562 Fax: 757-648-8564 | |
Mrs. Keyuri S Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 Phone: 757-995-2700 Fax: 757-995-2701 | |
Haygood Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-460-1809 | |
Ms. Judith M Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-473-8016 Fax: 757-473-3580 | |
Wendy Bryant, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, 310, Virginia Beach, VA 23452 Phone: 757-490-3223 |