Mr John Mitrovic, PT SCS ATC CSCS | |
4125 Ironbound Rd Ste 100, Williamsburg, VA 23188-2666 | |
(757) 220-8383 | |
(757) 253-7833 |
Full Name | Mr John Mitrovic |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 36 Years |
Location | 4125 Ironbound Rd Ste 100, Williamsburg, 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 |
---|---|---|---|
1730142639 | NPI | - | NPPES |
8928649 | Medicaid | VA | |
192935 | Other | VA | BCBS PHYSICAL THERAPY |
4460951 | Other | AETNA | |
650003973 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305003424 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tidewater Physical Therapy Llc | 6406759281 | 188 |
Provider Name | Tidewater Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
---|---|
Mr John Mitrovic, PT SCS ATC CSCS Po Box 69030, Baltimore, MD 21264-9030 Ph: (757) 873-2302 | Mr John Mitrovic, PT SCS ATC CSCS 4125 Ironbound Rd Ste 100, Williamsburg, VA 23188-2666 Ph: (757) 220-8383 |
Tidewater Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 Ironbound Rd, Ste 100, Williamsburg, VA 23188 Phone: 757-220-8383 Fax: 757-253-7833 | |
Tara Lee Perkins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Bulifants Blvd Ste A, Williamsburg, VA 23188 Phone: 757-564-7381 Fax: 757-564-7391 | |
Ann Degruy Scanlon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Warhill Trl, Williamsburg, VA 23188 Phone: 757-912-2726 | |
D Russell Mosher, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 Bulifants Blvd, Suite B, Williamsburg, VA 23188 Phone: 757-229-9740 Fax: 757-345-6953 | |
Karen Mcpadden, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5388 Discovery Park Blvd Ste 100, Williamsburg, VA 23188 Phone: 757-903-4230 Fax: 757-903-4231 | |
Reach For Performance, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 Lightfoot Rd, Suite J, Williamsburg, VA 23188 Phone: 757-258-1221 Fax: 757-258-7733 | |
Bryce Taylor Koob, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6425 Richmond Rd, Williamsburg, VA 23188 Phone: 757-345-3242 |