| Matthew A Mailloux, PT, DPT, OCS | |
|
7493 Right Flank Rd Ste 410, Mechanicsville, VA 23116-3846 | |
| (804) 569-7091 | |
| (804) 569-7094 |
| Full Name | Matthew A Mailloux |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 7493 Right Flank Rd Ste 410, Mechanicsville, 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 |
|---|---|---|---|
| 1730475260 | NPI | - | NPPES |
| 1730475260 | Medicaid | VA | |
| 225579 | Other | VA | BCBS (PHYSICAL THERAPY) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305206966 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physical Therapy Llc | 6406759281 | 181 |
| 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 |
|---|---|
| Matthew A Mailloux, PT, DPT, OCS Po Box 69030, Baltimore, MD 21264-9030 Ph: (757) 873-2302 | Matthew A Mailloux, PT, DPT, OCS 7493 Right Flank Rd Ste 410, Mechanicsville, VA 23116-3846 Ph: (804) 569-7091 |
Carrie S Christ, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-1001 | |
Danielle Nunn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8201 Atlee Rd Ste D, Mechanicsville, VA 23116 Phone: 804-569-1787 Fax: 804-569-9787 | |
Rebecca Mannion, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-342-4358 Fax: 804-342-4316 | |
Karli Murray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-1001 Fax: 804-342-4316 | |
Susannah Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-7634 | |
Casey Carnohan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7225 Bell Creek Rd Ste 256a, Mechanicsville, VA 23111 Phone: 804-486-6868 | |
Lori Blair, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8254 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-342-4300 Fax: 804-342-4316 |