| Phyllis Grimmer Eberline, PT,DPT | |
|
900 South Church Lane, Tappahannock, VA 22560 | |
| (804) 443-4850 | |
| (804) 443-4851 |
| Full Name | Phyllis Grimmer Eberline |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 900 South Church Lane, Tappahannock, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699037804 | NPI | - | NPPES |
| 1699037804 | Medicaid | VA | |
| 2305000880 | Other | VA | VIRGINIA STATE LICENSE |
| C09695 | Other | VA | GROUP MEDICARE P-TAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305000880 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Essex Physical Therapy, Inc. | 2567484595 | 3 |
| Provider Name | Belfield Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215994058 PECOS PAC ID: 1456303114 Enrollment ID: O20050210000918 |
| Provider Name | Essex Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841314440 PECOS PAC ID: 2567484595 Enrollment ID: O20051219000782 |
| Provider Name | King William Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508049255 PECOS PAC ID: 8820251739 Enrollment ID: O20120511000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Grimmer Eberline, PT,DPT Po Box 1401, Tappahannock, VA 22560-1401 Ph: (804) 443-4850 | Phyllis Grimmer Eberline, PT,DPT 900 South Church Lane, Tappahannock, VA 22560 Ph: (804) 443-4850 |
Mrs. Kathryn Ann Kelly, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1924 Tappahannock Blvd, Tappahannock, VA 22560 Phone: 804-445-1015 Fax: 804-445-1435 | |
Jill T Lewis, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 South Church Lane, Tappahannock, VA 22560 Phone: 804-443-4851 | |
Mr. Ralph Russell Lewis Jr., MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 South Church Lane, Tappahannock, VA 22560 Phone: 804-443-4850 Fax: 804-443-4851 | |
Essex Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 South Church Ln, Tappahannock, VA 22560 Phone: 804-443-4850 Fax: 804-443-4851 | |
Arnan Sisson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 South Church Lane, Tappahannock, VA 22560 Phone: 804-443-4250 Fax: 804-443-4851 |