| Michael Eaton, | |
|
133 Market Center Way, Ste 2, Daleville, VA 24083-3284 | |
| (540) 242-3017 | |
| Not Available |
| Full Name | Michael Eaton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 133 Market Center Way, Daleville, 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 |
|---|---|---|---|
| 1114579224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305212390 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Sept, Llc | 7911990908 | 166 |
| 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 |
| Provider Name | Ivyrehab Sept, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Eaton, Po Box 412307, Boston, MA 02241-2307 Ph: (914) 294-4050 | Michael Eaton, 133 Market Center Way, Ste 2, Daleville, VA 24083-3284 Ph: (540) 242-3017 |
University Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-352-4304 Fax: 540-591-7340 | |
Jourdan Paige Bushman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 203, Daleville, VA 24083 Phone: 540-381-9100 | |
Tayler Lynn Lewis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Shenandoah Ave Ste 201, Daleville, VA 24083 Phone: 540-591-7514 | |
Maverick Coleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Catawba Rd Ste 201, Daleville, VA 24083 Phone: 540-992-4801 | |
Audrey A Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Roanoke Rd, Suite 100, Daleville, VA 24083 Phone: 540-992-4801 Fax: 540-992-1669 | |
Harold W Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 Roanoke Rd, Daleville, VA 24083 Phone: 540-992-4801 Fax: 540-992-1669 |