| Jesse Newbaker Smartt, DPT | |
|
7400 Beaufont Springs Dr, Suite 120, North Chesterfield, VA 23225-5556 | |
| (804) 320-2220 | |
| Not Available |
| Full Name | Jesse Newbaker Smartt |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7400 Beaufont Springs Dr, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366891897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305210317 (Virginia) | Primary |
| Provider Name | Red Canyon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841872405 PECOS PAC ID: 1052618352 Enrollment ID: O20210915001754 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Newbaker Smartt, DPT 7400 Beaufont Springs Dr, Suite 120, North Chesterfield, VA 23225-5556 Ph: (804) 320-2220 | Jesse Newbaker Smartt, DPT 7400 Beaufont Springs Dr, Suite 120, North Chesterfield, VA 23225-5556 Ph: (804) 320-2220 |
Elijah Haag, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8505 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 804-330-3860 | |
Mary Elizabeth Grover, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 757-490-3223 | |
Zau Lahtaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8505 Midlothian Tpke Ste A, North Chesterfield, VA 23235 Phone: 804-330-3860 | |
John Rooney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9101 Bon Air Crossings Dr, North Chesterfield, VA 23235 Phone: 804-521-9980 | |
Tori Donna Ottaviano, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 227 Wadsworth Dr, North Chesterfield, VA 23236 Phone: 804-323-7874 | |
Kaitlyn Pacak, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1115 Boulders Pkwy Ste 100b, North Chesterfield, VA 23225 Phone: 804-330-8165 Fax: 804-330-3948 | |
Orthovirginia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Johnston Willis Drive, Suite B, North Chesterfield, VA 23235 Phone: 804-379-3840 Fax: 804-379-9567 |