| Mr Louis A Mazakas, PT, DPT | |
|
44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | |
| (804) 784-7090 | |
| (804) 784-7092 |
| Full Name | Mr Louis A Mazakas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 44 Broad Street Rd, Manakin Sabot, 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 |
|---|---|---|---|
| 1811915432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305205370 (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 |
|---|---|
| Mr Louis A Mazakas, PT, DPT Po Box 69030, Baltimore, MD 21264-9030 Ph: (757) 873-2302 | Mr Louis A Mazakas, PT, DPT 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 Ph: (804) 784-7090 |
Tuckahoe Physical Therapy Corp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 | |
Mrs. Angela Shelton Brooks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 | |
Jennifer S Aaron, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 | |
Tidewater Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 | |
Caroline Moore, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 784-787-7090 | |
Melissa M Bowers, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 | |
Callie A. Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-7090 Fax: 804-784-7092 |