Mason Lee, DPT | |
4125 Ironbound Rd Ste 101, Williamsburg, VA 23188-2666 | |
(757) 565-3400 | |
(757) 565-6445 |
Full Name | Mason Lee |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4125 Ironbound Rd Ste 101, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063245538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 57045 (Alabama) | Secondary |
225100000X | Physical Therapist | CP042699T (Virginia) | Primary |
Provider Name | Ati Holdings Of Alabama Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063952646 PECOS PAC ID: 2769756436 Enrollment ID: O20170919001462 |
Mailing Address | Practice Location Address |
---|---|
Mason Lee, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Mason Lee, DPT 4125 Ironbound Rd Ste 101, Williamsburg, VA 23188-2666 Ph: (757) 565-3400 |
Tara Lee Perkins, DPT Physical Therapist Medicare: Not Enrolled in Medicare 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 | |
Joshua James Simons, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Bulifants Blvd Ste B, Williamsburg, VA 23188 Phone: 757-229-9740 Fax: 757-229-9741 | |
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 |