| Ashley Carroll, | |
|
1900 Lauderdale Dr, Richmond, VA 23238-3933 | |
| (804) 729-5563 | |
| Not Available |
| Full Name | Ashley Carroll |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1900 Lauderdale Dr, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093294977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119006898 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Carroll, 15218 Tomahawk Ridge Dr, Midlothian, VA 23112-4288 Ph: () - | Ashley Carroll, 1900 Lauderdale Dr, Richmond, VA 23238-3933 Ph: (804) 729-5563 |
Tidewater Physical Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4831 S Laburnum Ave, Richmond, VA 23231 Phone: 804-222-0746 Fax: 804-222-0728 | |
Mrs. Ashley Fariss Stewart, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4840 Waller Rd, Richmond, VA 23230 Phone: 804-893-5010 | |
Mrs. Megan Elise Evelyn Breakall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Saunders Ave, Richmond, VA 23227 Phone: 804-358-1874 | |
Mrs. Kimberly Jo Powell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5551 | |
Mary Griessbach, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Mr. James Lyle Wilkerson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N 24th St, Richmond, VA 23223 Phone: 804-874-4437 | |
Eileen Catherine Shelp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Wilkes Ridge Dr, Richmond, VA 23233 Phone: 804-877-4000 |