| Michael Wilson, DPT | |
|
935 S Main St, Farmville, VA 23901 | |
| (434) 315-5362 | |
| (434) 808-1048 |
| Full Name | Michael Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 935 S Main St, Farmville, 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 |
|---|---|---|---|
| 1750825634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305208903 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physical Therapy Llc | 6406759281 | 181 |
| Provider Name | Orthovirginia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| 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 |
|---|---|
| Michael Wilson, DPT 935 S Main St, Farmville, VA 23901-2211 Ph: (434) 315-2920 | Michael Wilson, DPT 935 S Main St, Farmville, VA 23901 Ph: (434) 315-5362 |
Mr. Timothy Blaine Smith, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1412 W 3rd St, Farmville, VA 23901 Phone: 434-392-1596 Fax: 434-392-5201 | |
Mr. Arnel Bernabe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Virginia Ave, Farmville, VA 23901 Phone: 434-414-6609 | |
Mikaela Chambers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1412 W 3rd St, Farmville, VA 23901 Phone: 434-392-1596 | |
Feather C Wright, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 935 S Main St, Farmville, VA 23901 Phone: 434-315-5362 | |
Alison Leigh Faulkenberry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1409 S Main St, Farmville, VA 23901 Phone: 434-207-5170 Fax: 434-485-8594 | |
Joe Chen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1516 S Main St, Farmville, VA 23901 Phone: 434-326-0209 | |
Andrea Blaisdell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 935 S Main St, Farmville, VA 23901 Phone: 434-315-5362 Fax: 434-315-5781 |