| Ms Trinity Green, DPT, PT | |
|
3253 Taylor Rd Ste 200, Chesapeake, VA 23321-2452 | |
| (757) 881-1137 | |
| (757) 881-1138 |
| Full Name | Ms Trinity Green |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3253 Taylor Rd Ste 200, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669202560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216644 (Virginia) | Primary |
| 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 |
|---|---|
| Ms Trinity Green, DPT, PT 4624 Pembroke Blvd, Virginia Beach, VA 23455-6450 Ph: Not Available | Ms Trinity Green, DPT, PT 3253 Taylor Rd Ste 200, Chesapeake, VA 23321-2452 Ph: (757) 881-1137 |
Michelle Lynn Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Volvo Pkwy, Chesapeake, VA 23320 Phone: 757-547-3135 |
Edwin Bryce Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Technology Dr Ste 102, Chesapeake, VA 23320 Phone: 757-227-7600 |
Mrs. Maria Melissa L Oblena, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1259 Veranda Way, Chesapeake, VA 23320 Phone: 757-373-3732 |
Ms. May Dimabuyu Monzon, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Cedar Rd, Chesapeake, VA 23322 Phone: 757-547-4528 |
Whitney Marie Randall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 Phone: 757-819-6512 Fax: 757-819-6517 |
Kirsteen Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 Dock Landing Rd, Chesapeake, VA 23321 Phone: 757-465-6300 |
Derrick Hale Baskin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Pkwy Ste 101, Chesapeake, VA 23323 Phone: 757-388-9950 |