| Tidewater Physical Therapy, Llc | |
|
771 Pilot House Dr, Suite A, Newport News, VA 23606-1990 | |
| (757) 873-2302 | |
| (757) 873-2306 |
| Full Name | Tidewater Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 771 Pilot House Dr, Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457389595 | NPI | - | NPPES |
| C12068 | Other | VA | MEDICARE RAILROAD |
| Provider Name | Bruce G Brewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780765925 PECOS PAC ID: 4284536699 Enrollment ID: I20040126000539 |
| Provider Name | Anthony M Grillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437111689 PECOS PAC ID: 4880580158 Enrollment ID: I20040224000686 |
| Provider Name | Michael F Jefferies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740234798 PECOS PAC ID: 6901893510 Enrollment ID: I20040427000531 |
| Provider Name | Ashley C Forrest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639131493 PECOS PAC ID: 0042293102 Enrollment ID: I20040609001483 |
| Provider Name | Tina M Cadden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063552297 PECOS PAC ID: 1052372703 Enrollment ID: I20041026000072 |
| Provider Name | Matthew Pulisic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245209188 PECOS PAC ID: 7719940105 Enrollment ID: I20041109000083 |
| Provider Name | Karen W Kovacs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265495022 PECOS PAC ID: 5698725190 Enrollment ID: I20050122000172 |
| Provider Name | Eric L Jorde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154304780 PECOS PAC ID: 5890747182 Enrollment ID: I20050215000554 |
| Provider Name | Joseph P Flannery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356303861 PECOS PAC ID: 5092745455 Enrollment ID: I20050816000236 |
| Provider Name | James M Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871503953 PECOS PAC ID: 6800828922 Enrollment ID: I20050908001101 |
| Provider Name | Cory M Wirt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215990122 PECOS PAC ID: 0648223636 Enrollment ID: I20050910000088 |
| Provider Name | Jessica M Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326001546 PECOS PAC ID: 8921024787 Enrollment ID: I20051020000632 |
| Provider Name | Courtney S Ranson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255384830 PECOS PAC ID: 3476573791 Enrollment ID: I20051201000655 |
| Provider Name | Dawn T Snow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023048709 PECOS PAC ID: 8527089390 Enrollment ID: I20051208000766 |
| Provider Name | Michelle R Newsom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912961681 PECOS PAC ID: 9638190382 Enrollment ID: I20051209000560 |
| Provider Name | Melissa Anne Ryman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396762175 PECOS PAC ID: 5991726523 Enrollment ID: I20051212000372 |
| Provider Name | April Lovering Page |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316901713 PECOS PAC ID: 3971526625 Enrollment ID: I20060109000296 |
| Provider Name | Angela Shelton Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215123500 PECOS PAC ID: 8820003700 Enrollment ID: I20060214000337 |
| Provider Name | Amy D Beatty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649232893 PECOS PAC ID: 1557378668 Enrollment ID: I20060315000248 |
| Provider Name | Thomas J Cundiff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568492189 PECOS PAC ID: 7911910062 Enrollment ID: I20060713000277 |
| Provider Name | Jennifer L Narron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518979517 PECOS PAC ID: 7517968514 Enrollment ID: I20070117000480 |
| Provider Name | Michael D. Satterley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184637027 PECOS PAC ID: 8325049984 Enrollment ID: I20070124000616 |
| Provider Name | Kristina M Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326056334 PECOS PAC ID: 6709887128 Enrollment ID: I20070126000329 |
| Provider Name | Leslie P Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093888000 PECOS PAC ID: 5799888269 Enrollment ID: I20070321000646 |
| Provider Name | John Scalici |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376571190 PECOS PAC ID: 3476517061 Enrollment ID: I20070402000658 |
| Provider Name | Andrea Katz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487752945 PECOS PAC ID: 5991801094 Enrollment ID: I20070507000482 |
| Provider Name | Kevin P Schrack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639296015 PECOS PAC ID: 8921102732 Enrollment ID: I20070627000124 |
| Provider Name | Amy E Labadie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255410494 PECOS PAC ID: 8729179627 Enrollment ID: I20070807000518 |
| Provider Name | Diana W Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043401169 PECOS PAC ID: 2264526177 Enrollment ID: I20071001000410 |
| Provider Name | Adam P Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174720551 PECOS PAC ID: 9032207006 Enrollment ID: I20071109000094 |
| Provider Name | Aaron K Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588749196 PECOS PAC ID: 9931289568 Enrollment ID: I20080108000592 |
| Provider Name | Briana Aiken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982603031 PECOS PAC ID: 9133205164 Enrollment ID: I20080331000389 |
| Provider Name | Louis A Mazakas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811915432 PECOS PAC ID: 4688651243 Enrollment ID: I20080603000516 |
| Provider Name | Mary M Huebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982640421 PECOS PAC ID: 2163597709 Enrollment ID: I20080818000254 |
| Provider Name | Kenneth C Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174789713 PECOS PAC ID: 2769558576 Enrollment ID: I20080902000434 |
| Provider Name | Jeffrey J Diepold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285890988 PECOS PAC ID: 7113093345 Enrollment ID: I20080911000449 |
| Provider Name | Pamela A Witthaus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891756722 PECOS PAC ID: 9234298902 Enrollment ID: I20081110000716 |
| Provider Name | Reshma Barot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124279559 PECOS PAC ID: 0941360614 Enrollment ID: I20081125000687 |
| Provider Name | Cynthia J Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417198144 PECOS PAC ID: 1456408467 Enrollment ID: I20090408000645 |
| Provider Name | Julie E Hull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104052323 PECOS PAC ID: 1153473954 Enrollment ID: I20090708000557 |
| Provider Name | Diana N Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093945768 PECOS PAC ID: 1850444944 Enrollment ID: I20090807000133 |
| Provider Name | Mary A Dauch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609002351 PECOS PAC ID: 3375697790 Enrollment ID: I20090820000141 |
| Provider Name | Jessica S Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649401159 PECOS PAC ID: 0749334878 Enrollment ID: I20090824000528 |
| Provider Name | Jennifer R Wornom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639228356 PECOS PAC ID: 7113073545 Enrollment ID: I20090925000400 |
| Provider Name | Steven J Howell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275596165 PECOS PAC ID: 5991723975 Enrollment ID: I20100510000218 |
| Provider Name | Marcia L Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740242858 PECOS PAC ID: 0547398307 Enrollment ID: I20100514000676 |
| Provider Name | Natalie N Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306807375 PECOS PAC ID: 9335277193 Enrollment ID: I20100514000712 |
| Provider Name | John A Mitrovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730142639 PECOS PAC ID: 4981780640 Enrollment ID: I20100514000829 |
| Provider Name | Virginia O Kennison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659333847 PECOS PAC ID: 4789712563 Enrollment ID: I20100514000850 |
| Provider Name | Laura Wilson Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386606226 PECOS PAC ID: 8022147545 Enrollment ID: I20100521000272 |
| Provider Name | Amanda T Alling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700197787 PECOS PAC ID: 6507980422 Enrollment ID: I20100830000800 |
| Provider Name | Renee G Midgett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891868683 PECOS PAC ID: 3173648672 Enrollment ID: I20100920001119 |
| Provider Name | Susan C Vick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548387541 PECOS PAC ID: 2163547662 Enrollment ID: I20100920001134 |
| Provider Name | Sue Hunter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790013662 PECOS PAC ID: 1052436557 Enrollment ID: I20100920001149 |
| Provider Name | Peter Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750694899 PECOS PAC ID: 4981897253 Enrollment ID: I20101019000703 |
| Provider Name | Kenneth J Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821301961 PECOS PAC ID: 8527252774 Enrollment ID: I20101101001242 |
| Provider Name | Erika Dobbins-clements |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336444199 PECOS PAC ID: 3678754496 Enrollment ID: I20110225000588 |
| Provider Name | Ghazala Saeed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598844763 PECOS PAC ID: 6305850785 Enrollment ID: I20110314001061 |
| Provider Name | Melissa Matherly Bowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649574112 PECOS PAC ID: 9931384211 Enrollment ID: I20110502000267 |
| Provider Name | Aubrey J Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417100785 PECOS PAC ID: 7416936950 Enrollment ID: I20110527000064 |
| Provider Name | Matthew Mailloux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730475260 PECOS PAC ID: 3476721663 Enrollment ID: I20110713000685 |
| Provider Name | Jessica T Voltin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457649741 PECOS PAC ID: 8426229238 Enrollment ID: I20110927000183 |
| Provider Name | Reina Michele Chaperon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144537259 PECOS PAC ID: 1355511759 Enrollment ID: I20120815000252 |
| Provider Name | Fegan H Richmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235484197 PECOS PAC ID: 0143477281 Enrollment ID: I20120824000665 |
| Provider Name | Carmen Mulherin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487900239 PECOS PAC ID: 2769639657 Enrollment ID: I20120828000788 |
| Provider Name | Matthew Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932456829 PECOS PAC ID: 1153579529 Enrollment ID: I20120911000174 |
| Provider Name | Cecilia M Benzinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205812575 PECOS PAC ID: 6002064128 Enrollment ID: I20120914000594 |
| Provider Name | Stephen K Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679817928 PECOS PAC ID: 6901059021 Enrollment ID: I20130123000193 |
| Provider Name | Diane E Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639328560 PECOS PAC ID: 1355536046 Enrollment ID: I20130206000426 |
| Provider Name | Samantha S Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922352772 PECOS PAC ID: 7517111982 Enrollment ID: I20130212000390 |
| Provider Name | Paul C Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366466864 PECOS PAC ID: 9739328360 Enrollment ID: I20130612000014 |
| Provider Name | Shavon D Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740619766 PECOS PAC ID: 6002044484 Enrollment ID: I20140109001019 |
| Provider Name | Danielle R Hinkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730400607 PECOS PAC ID: 5092943910 Enrollment ID: I20140122000549 |
| Provider Name | Dianna Lynn Bishop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851555163 PECOS PAC ID: 7618887282 Enrollment ID: I20140130001446 |
| Provider Name | Brittany Renee Deuso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952656944 PECOS PAC ID: 0042449324 Enrollment ID: I20140207000890 |
| Provider Name | Samuel Ethan Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154742724 PECOS PAC ID: 1355571662 Enrollment ID: I20140306002079 |
| Provider Name | Ingrid S Groseclose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073925541 PECOS PAC ID: 2567689151 Enrollment ID: I20140805001533 |
| Provider Name | Ryan P Eastridge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710395934 PECOS PAC ID: 0648499715 Enrollment ID: I20140923000551 |
| Provider Name | Jennifer M Seaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487062568 PECOS PAC ID: 6800015983 Enrollment ID: I20140923000959 |
| Provider Name | Brittany West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124432299 PECOS PAC ID: 1850511759 Enrollment ID: I20140926001860 |
| Provider Name | Cassandra A. Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245648880 PECOS PAC ID: 7214157155 Enrollment ID: I20140928000021 |
| Provider Name | Elena V. Byzewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942609185 PECOS PAC ID: 2860612165 Enrollment ID: I20141009000530 |
| Provider Name | Maureen Mcgrath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578962262 PECOS PAC ID: 7719108414 Enrollment ID: I20141022000774 |
| Provider Name | Sarah E Stafford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356758809 PECOS PAC ID: 8426372269 Enrollment ID: I20150126002327 |
| Provider Name | Erin Michael |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649607615 PECOS PAC ID: 5294051751 Enrollment ID: I20150302000227 |
| Provider Name | Thomas H Stites |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982612636 PECOS PAC ID: 2567640998 Enrollment ID: I20150626001354 |
| Provider Name | Shannon Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134513435 PECOS PAC ID: 1153642228 Enrollment ID: I20150629001326 |
| Provider Name | Joanna M Kokolis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407934359 PECOS PAC ID: 1850320086 Enrollment ID: I20150630002286 |
| Provider Name | Heather C Vaughan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619255916 PECOS PAC ID: 8224342514 Enrollment ID: I20150730012499 |
| Provider Name | Naomi M Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699154484 PECOS PAC ID: 6103131578 Enrollment ID: I20150813010904 |
| Provider Name | Joan Fernandez-tomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801275060 PECOS PAC ID: 4082920756 Enrollment ID: I20150826002653 |
| Provider Name | Chad J Goudy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154701597 PECOS PAC ID: 8426364522 Enrollment ID: I20150903002846 |
| Provider Name | Emily Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093190126 PECOS PAC ID: 8224345921 Enrollment ID: I20150925002601 |
| Provider Name | Robert W Lyman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043687965 PECOS PAC ID: 8325357163 Enrollment ID: I20151019001670 |
| Provider Name | Susan Meredith Powroznik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154794659 PECOS PAC ID: 8123320975 Enrollment ID: I20160111001714 |
| Provider Name | Kristin M Kelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548388556 PECOS PAC ID: 7012200066 Enrollment ID: I20160728000062 |
| Provider Name | Joshua S Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326498163 PECOS PAC ID: 2062705841 Enrollment ID: I20160801002762 |
| Provider Name | Delanie Ma Letard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831548189 PECOS PAC ID: 7911292776 Enrollment ID: I20160818002053 |
| Provider Name | Craig R Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689127508 PECOS PAC ID: 0840587671 Enrollment ID: I20160922001160 |
| Provider Name | Jonathan M Lloyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083909196 PECOS PAC ID: 2264729631 Enrollment ID: I20160928002289 |
| Provider Name | Matthew D Barrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306391990 PECOS PAC ID: 0547548638 Enrollment ID: I20161024002690 |
| Provider Name | Christie Lee Sapakoff Cerefice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699134478 PECOS PAC ID: 3678853827 Enrollment ID: I20161206001549 |
| Provider Name | Michael P Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750825634 PECOS PAC ID: 7012299761 Enrollment ID: I20170113000099 |
| Provider Name | Melissa L. Pollock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831635895 PECOS PAC ID: 5890070007 Enrollment ID: I20170329002402 |
| Provider Name | Ryan Mckinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538521646 PECOS PAC ID: 5294011730 Enrollment ID: I20170417001480 |
| Provider Name | Jennifer K Hatch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205293511 PECOS PAC ID: 5799062105 Enrollment ID: I20170511001069 |
| Provider Name | Sarah E Gillette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548701824 PECOS PAC ID: 2668749326 Enrollment ID: I20170531000348 |
| Provider Name | Kevin M Hesse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104819812 PECOS PAC ID: 7416912563 Enrollment ID: I20170531001440 |
| Provider Name | Courtney M Jamerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144758475 PECOS PAC ID: 2466723937 Enrollment ID: I20170801002931 |
| Provider Name | Molly Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780111336 PECOS PAC ID: 8224309133 Enrollment ID: I20170810000425 |
| Provider Name | Neil P Duffy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972027563 PECOS PAC ID: 6507130861 Enrollment ID: I20170926000273 |
| Provider Name | Katrina A Smedley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457875445 PECOS PAC ID: 7517232978 Enrollment ID: I20171011000853 |
| Provider Name | Teri L Draper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992221816 PECOS PAC ID: 0042576431 Enrollment ID: I20171120000024 |
| Provider Name | Whitney E Leister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114436698 PECOS PAC ID: 0749547503 Enrollment ID: I20171202000177 |
| Provider Name | Ashleigh E Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487178455 PECOS PAC ID: 2769749480 Enrollment ID: I20171205000008 |
| Provider Name | Le Shante Anise Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700398625 PECOS PAC ID: 1759649569 Enrollment ID: I20171228001856 |
| Provider Name | India S Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972021020 PECOS PAC ID: 2365701109 Enrollment ID: I20180124000385 |
| Provider Name | Jennifer B Walle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083129407 PECOS PAC ID: 4688934250 Enrollment ID: I20180131001169 |
| Provider Name | Tish K Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013428333 PECOS PAC ID: 1557621901 Enrollment ID: I20180205001654 |
| Provider Name | Sara Dryer Ruhlman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588177505 PECOS PAC ID: 9739266115 Enrollment ID: I20180205002085 |
| Provider Name | Nikisha D Gandhi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629317201 PECOS PAC ID: 7012295108 Enrollment ID: I20180212001613 |
| Provider Name | Meghan R Gendzier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639670177 PECOS PAC ID: 8527321181 Enrollment ID: I20180412000352 |
| Provider Name | Steven Brian Boswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255846044 PECOS PAC ID: 9739434127 Enrollment ID: I20180627000089 |
| Provider Name | Sophia Alexandra Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366933541 PECOS PAC ID: 5294081683 Enrollment ID: I20180627000520 |
| Provider Name | Callie A Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659861904 PECOS PAC ID: 3870840051 Enrollment ID: I20180718003851 |
| Provider Name | Rebekah J Bolden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346733664 PECOS PAC ID: 1254689813 Enrollment ID: I20180730003570 |
| Provider Name | Alexander Feldt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518458066 PECOS PAC ID: 1052669306 Enrollment ID: I20180802003784 |
| Provider Name | Zachary Muscato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265925069 PECOS PAC ID: 0143578153 Enrollment ID: I20180808001238 |
| Provider Name | Lindsey A Lyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285126979 PECOS PAC ID: 6305194143 Enrollment ID: I20180809005973 |
| Provider Name | Jeremy L. Mccullough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043747983 PECOS PAC ID: 0244500197 Enrollment ID: I20181008000324 |
| Provider Name | Brandon Shane Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205314218 PECOS PAC ID: 5890047138 Enrollment ID: I20181015001203 |
| Provider Name | Victoria Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811479694 PECOS PAC ID: 3476807520 Enrollment ID: I20181108002174 |
| Provider Name | Rafal Gwizdala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447731807 PECOS PAC ID: 1153675103 Enrollment ID: I20181112000438 |
| Provider Name | Matthew Fung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689155798 PECOS PAC ID: 1052665825 Enrollment ID: I20181114000449 |
| Provider Name | Zachary Lindeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477064921 PECOS PAC ID: 1951655372 Enrollment ID: I20181120003298 |
| Provider Name | Trevor W Goring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053652578 PECOS PAC ID: 7214174473 Enrollment ID: I20181126000269 |
| Provider Name | James A Luker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861961443 PECOS PAC ID: 8325383425 Enrollment ID: I20181218002220 |
| Provider Name | Tyler Shorts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366951055 PECOS PAC ID: 5395082978 Enrollment ID: I20190122001301 |
| Provider Name | Kristin Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407338726 PECOS PAC ID: 6305183161 Enrollment ID: I20190131003412 |
| Provider Name | Emily Leister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730651449 PECOS PAC ID: 8628316817 Enrollment ID: I20190213002555 |
| Provider Name | Whitney Eakin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265813208 PECOS PAC ID: 7810275476 Enrollment ID: I20190410000027 |
| Provider Name | Stephanie Devane Marchand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275092579 PECOS PAC ID: 8325389430 Enrollment ID: I20190417001838 |
| Provider Name | Jared Kenneth Casazza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932657798 PECOS PAC ID: 4183902703 Enrollment ID: I20190501003285 |
| Provider Name | Christopher Robert Marchand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184183485 PECOS PAC ID: 9830432814 Enrollment ID: I20190514002303 |
| Provider Name | Bryan W Hutton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467925784 PECOS PAC ID: 5799019121 Enrollment ID: I20190619000265 |
| Provider Name | Trevor Thomson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568027381 PECOS PAC ID: 7911231600 Enrollment ID: I20190701000456 |
| Provider Name | Ryan Abshear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306405048 PECOS PAC ID: 9436485067 Enrollment ID: I20190719001421 |
| Provider Name | Ashley Elizabeth Redden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366000382 PECOS PAC ID: 5799011243 Enrollment ID: I20190723000363 |
| Provider Name | Alicia Blackham Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285292862 PECOS PAC ID: 1355678012 Enrollment ID: I20190805000798 |
| Provider Name | William Read Bassing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861050163 PECOS PAC ID: 6204163892 Enrollment ID: I20190805002495 |
| Provider Name | Cody Prosser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154980027 PECOS PAC ID: 8325375520 Enrollment ID: I20190812000725 |
| Provider Name | Austen Chance |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881254548 PECOS PAC ID: 9133456361 Enrollment ID: I20190812001694 |
| Provider Name | Jacob Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891351649 PECOS PAC ID: 8022345107 Enrollment ID: I20190813000007 |
| Provider Name | Michael Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114579224 PECOS PAC ID: 9032447149 Enrollment ID: I20190828001285 |
| Provider Name | Jordan Nelson Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053802207 PECOS PAC ID: 4789912619 Enrollment ID: I20190829003413 |
| Provider Name | Jacob France |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730747155 PECOS PAC ID: 4880924554 Enrollment ID: I20190923001859 |
| Provider Name | Anthony Vincent Delano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245886589 PECOS PAC ID: 9335479971 Enrollment ID: I20190925001708 |
| Provider Name | Taylor C Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891341475 PECOS PAC ID: 2860723459 Enrollment ID: I20191014000183 |
| Provider Name | Anne Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891343513 PECOS PAC ID: 6406187020 Enrollment ID: I20191014001118 |
| Provider Name | Andrew Ingell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932758877 PECOS PAC ID: 4981936028 Enrollment ID: I20191023000808 |
| Provider Name | Heather Ann Barlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255708418 PECOS PAC ID: 3779857016 Enrollment ID: I20191029001940 |
| Provider Name | Emily Hollomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497303119 PECOS PAC ID: 7719219120 Enrollment ID: I20191104001177 |
| Provider Name | Melissa Bauerle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366096877 PECOS PAC ID: 1759714777 Enrollment ID: I20191205001849 |
| Provider Name | Morgan Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922513118 PECOS PAC ID: 0446684716 Enrollment ID: I20191218002831 |
| Provider Name | Traci J Fairheart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710522529 PECOS PAC ID: 7719311315 Enrollment ID: I20200106003052 |
| Provider Name | Dominique Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902390610 PECOS PAC ID: 7517393218 Enrollment ID: I20200128001709 |
| Provider Name | Karri Chestnut |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841839685 PECOS PAC ID: 8426484650 Enrollment ID: I20200207000417 |
| Provider Name | Whitney Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285931691 PECOS PAC ID: 1355527623 Enrollment ID: I20200212002886 |
| Provider Name | Cameron James Holshouser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942859343 PECOS PAC ID: 2264869841 Enrollment ID: I20200220000000 |
| Provider Name | Shelby Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689233918 PECOS PAC ID: 2264860097 Enrollment ID: I20200310001055 |
| Provider Name | Crystal Chantel Everett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417265919 PECOS PAC ID: 4082042056 Enrollment ID: I20200325002874 |
| Provider Name | Samantha Jane Vestal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922632124 PECOS PAC ID: 2264861046 Enrollment ID: I20200330001882 |
| Provider Name | Kala King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497394001 PECOS PAC ID: 9234568452 Enrollment ID: I20200408003967 |
| Provider Name | Leigh R Schuster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487193561 PECOS PAC ID: 8820427958 Enrollment ID: I20200410000727 |
| Provider Name | George Homan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689129520 PECOS PAC ID: 5294074738 Enrollment ID: I20200413000126 |
| Provider Name | Samuel Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588204721 PECOS PAC ID: 6709216872 Enrollment ID: I20200414002328 |
| Provider Name | Ronald Norman Hastings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659996452 PECOS PAC ID: 1153743109 Enrollment ID: I20200619000536 |
| Provider Name | Ryan Buschmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740805506 PECOS PAC ID: 5597187567 Enrollment ID: I20200619001547 |
| Provider Name | Gil Louis Enav |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992320410 PECOS PAC ID: 7113349804 Enrollment ID: I20200625002523 |
| Provider Name | Lauren Gough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528683968 PECOS PAC ID: 1557783164 Enrollment ID: I20200626000578 |
| Provider Name | William Michael Benusa Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205452497 PECOS PAC ID: 3072935576 Enrollment ID: I20200629002116 |
| Provider Name | Sydney Marie Van Ness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285250746 PECOS PAC ID: 3476975970 Enrollment ID: I20200629002367 |
| Provider Name | Hannah M Duff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275159816 PECOS PAC ID: 5496178949 Enrollment ID: I20200701000412 |
| Provider Name | Maryelizabeth Warhol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518584069 PECOS PAC ID: 1355764333 Enrollment ID: I20200709000925 |
| Provider Name | Rachael Block Condrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295343093 PECOS PAC ID: 3072937739 Enrollment ID: I20200728001972 |
| Provider Name | Sacha Maxwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184232191 PECOS PAC ID: 0648695775 Enrollment ID: I20200805003381 |
| Provider Name | Alyssa Lee Oehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285244038 PECOS PAC ID: 7719303023 Enrollment ID: I20200818001093 |
| Provider Name | Lauren Karkane Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346853942 PECOS PAC ID: 7113345810 Enrollment ID: I20200911002097 |
| Provider Name | Paige Carrington Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881206852 PECOS PAC ID: 3274952031 Enrollment ID: I20200928001763 |
| Provider Name | Eric Neil Dumas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053924233 PECOS PAC ID: 9931528353 Enrollment ID: I20201002001945 |
| Provider Name | Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497256937 PECOS PAC ID: 5991049231 Enrollment ID: I20201006002021 |
| Provider Name | Megan Swanner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891301206 PECOS PAC ID: 5092125765 Enrollment ID: I20201109001056 |
| Provider Name | Steven Wilde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710923776 PECOS PAC ID: 3274445655 Enrollment ID: I20210120001097 |
| Provider Name | Patrick Francis Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336743251 PECOS PAC ID: 4981018850 Enrollment ID: I20210204001759 |
| Provider Name | Jason Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629661160 PECOS PAC ID: 3375959182 Enrollment ID: I20210302002583 |
| Provider Name | Kyle Goodwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629612429 PECOS PAC ID: 1759714884 Enrollment ID: I20210322000272 |
| Provider Name | William Reinheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770168395 PECOS PAC ID: 0143637652 Enrollment ID: I20210401000061 |
| Provider Name | Samantha Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457995037 PECOS PAC ID: 0840623864 Enrollment ID: I20210415001170 |
| Provider Name | Tiffany Howlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124600226 PECOS PAC ID: 0941609390 Enrollment ID: I20210604001126 |
| Provider Name | Adam Tanner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871174656 PECOS PAC ID: 2264832468 Enrollment ID: I20210609002206 |
| Provider Name | Olivia May |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013490325 PECOS PAC ID: 6002168234 Enrollment ID: I20210706003533 |
| Provider Name | Ellen Marie Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912572488 PECOS PAC ID: 7315349636 Enrollment ID: I20210709000092 |
| Provider Name | Clint William Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184298432 PECOS PAC ID: 8921400243 Enrollment ID: I20210709000177 |
| Provider Name | Arron Achey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891270617 PECOS PAC ID: 8820340912 Enrollment ID: I20210709002843 |
| Provider Name | Nathan Todd Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518533322 PECOS PAC ID: 6507269172 Enrollment ID: I20210721000406 |
| Provider Name | Daniel R Winfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508433327 PECOS PAC ID: 0042613556 Enrollment ID: I20210721002756 |
| Provider Name | William Reilly Lambert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356916498 PECOS PAC ID: 4486057585 Enrollment ID: I20210727003352 |
| Provider Name | Christina Herrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962079970 PECOS PAC ID: 8628479334 Enrollment ID: I20210809002362 |
| Provider Name | Bestinjohn Kanjiracal Jacob |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053982082 PECOS PAC ID: 5294130175 Enrollment ID: I20210817000628 |
| Provider Name | Emily Jordan Hunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962079194 PECOS PAC ID: 3870998263 Enrollment ID: I20210824000424 |
| Provider Name | Ann Elizabeth Keever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386312031 PECOS PAC ID: 6507264918 Enrollment ID: I20211014001562 |
| Provider Name | Zacharia Daniel Overby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376219196 PECOS PAC ID: 6507254810 Enrollment ID: I20211019001209 |
| Provider Name | Megan Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770851016 PECOS PAC ID: 8224297726 Enrollment ID: I20211104000263 |
| Provider Name | Daniel Kellar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912675505 PECOS PAC ID: 8224427158 Enrollment ID: I20211116000941 |
| Provider Name | William C Lambert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639840937 PECOS PAC ID: 8123417847 Enrollment ID: I20211117002395 |
| Provider Name | Thomas Olexsovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124785456 PECOS PAC ID: 5991195299 Enrollment ID: I20211130002482 |
| Provider Name | Jennifer M Pulisic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528732724 PECOS PAC ID: 4981094711 Enrollment ID: I20211209000559 |
| Provider Name | Helen Friedman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619649316 PECOS PAC ID: 9032509658 Enrollment ID: I20211214000391 |
| Provider Name | Philip Duarte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912569013 PECOS PAC ID: 3476944927 Enrollment ID: I20211217000564 |
| Provider Name | Alexandra Madden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952070583 PECOS PAC ID: 0547651838 Enrollment ID: I20211221001101 |
| Provider Name | Robyn Ruis Berkley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609825116 PECOS PAC ID: 6103845771 Enrollment ID: I20211227000359 |
| Provider Name | Ashley May Keesler-young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295184620 PECOS PAC ID: 7719378645 Enrollment ID: I20220103000339 |
| Provider Name | Brice Goode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275104036 PECOS PAC ID: 0244636256 Enrollment ID: I20220104001515 |
| Provider Name | Sina V Gartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700402450 PECOS PAC ID: 4587063474 Enrollment ID: I20220104002055 |
| Provider Name | Ashley M Hartung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851055990 PECOS PAC ID: 2365833076 Enrollment ID: I20220106000487 |
| Provider Name | Angele Francine Omadjela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801430657 PECOS PAC ID: 1052705837 Enrollment ID: I20220222000289 |
| Provider Name | Bryce Bossin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942825476 PECOS PAC ID: 3173945680 Enrollment ID: I20220301001777 |
| Provider Name | Brian Whittington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760648810 PECOS PAC ID: 3577729136 Enrollment ID: I20220302002836 |
| Provider Name | Katie Hammond Osteen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851874556 PECOS PAC ID: 4183969850 Enrollment ID: I20220409000318 |
| Provider Name | Caitlin Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306368428 PECOS PAC ID: 8123414547 Enrollment ID: I20220411001773 |
| Provider Name | Sandro Minichiello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336894476 PECOS PAC ID: 6406243278 Enrollment ID: I20220426000230 |
| Provider Name | Elizabeth Tyler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962142083 PECOS PAC ID: 0345637740 Enrollment ID: I20220504001326 |
| Provider Name | Jonathan Potter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629678537 PECOS PAC ID: 7810374766 Enrollment ID: I20220513001758 |
| Provider Name | Amelie Bumatay Brasher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114593332 PECOS PAC ID: 3476933482 Enrollment ID: I20220708000994 |
| Provider Name | Lisa B Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124761325 PECOS PAC ID: 3870973704 Enrollment ID: I20220708001952 |
| Provider Name | Jose Juan Garcia Granados |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669110110 PECOS PAC ID: 6406230614 Enrollment ID: I20220907000234 |
| Provider Name | Addison R Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700517521 PECOS PAC ID: 5294101390 Enrollment ID: I20221014000151 |
| Provider Name | William Connor Perry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700519931 PECOS PAC ID: 3476929373 Enrollment ID: I20221018001673 |
| Provider Name | Stanley Jefferson Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659010247 PECOS PAC ID: 5890161723 Enrollment ID: I20221018003287 |
| Provider Name | Emily Rose Quiros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174260566 PECOS PAC ID: 4082080791 Enrollment ID: I20221021000353 |
| Provider Name | Julianna Rae Mayfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891425914 PECOS PAC ID: 8224404843 Enrollment ID: I20221021001085 |
| Provider Name | Megan Seal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427665421 PECOS PAC ID: 2961812003 Enrollment ID: I20221024000751 |
| Provider Name | Ardedra Rochelle Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962149641 PECOS PAC ID: 5294102513 Enrollment ID: I20221029000145 |
| Provider Name | Colby Edward White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396470118 PECOS PAC ID: 6406224732 Enrollment ID: I20221117002145 |
| Provider Name | Erika Nicole Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336693548 PECOS PAC ID: 5294023214 Enrollment ID: I20221220001136 |
| Provider Name | Brent Schlesman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952012403 PECOS PAC ID: 9931579505 Enrollment ID: I20221227000070 |
| Provider Name | Katherine Isabella Lloyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548991144 PECOS PAC ID: 9234509712 Enrollment ID: I20221227000868 |
| Provider Name | Zachary Kegley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770211948 PECOS PAC ID: 6305216888 Enrollment ID: I20221227000982 |
| Provider Name | Regan James Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548998586 PECOS PAC ID: 4284004797 Enrollment ID: I20221227002138 |
| Provider Name | Eric English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366165292 PECOS PAC ID: 6901276187 Enrollment ID: I20230104001514 |
| Provider Name | Paul Auth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346916525 PECOS PAC ID: 9032589247 Enrollment ID: I20230104002940 |
| Provider Name | Robert George Kerby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245940857 PECOS PAC ID: 2264803717 Enrollment ID: I20230120002245 |
| Provider Name | Kyra Kress |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417615972 PECOS PAC ID: 1456742675 Enrollment ID: I20230120002709 |
| Provider Name | Jeanetta Fricke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861071763 PECOS PAC ID: 0446621635 Enrollment ID: I20230126001275 |
| Provider Name | Tori Donna Ottaviano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043931843 PECOS PAC ID: 0547631756 Enrollment ID: I20230126002233 |
| Provider Name | Ariana Sloane Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942910401 PECOS PAC ID: 0042682916 Enrollment ID: I20230202002905 |
| Provider Name | Maurice Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427555945 PECOS PAC ID: 8123354701 Enrollment ID: I20230220001812 |
| Provider Name | Katherine Keyser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538837398 PECOS PAC ID: 8628461563 Enrollment ID: I20230227001767 |
| Provider Name | Tiffani Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740987734 PECOS PAC ID: 4284007873 Enrollment ID: I20230301002109 |
| Provider Name | Michael Joseph Konetsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710130596 PECOS PAC ID: 5092188425 Enrollment ID: I20230306000188 |
| Provider Name | Cheryl Remick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659389195 PECOS PAC ID: 5597780619 Enrollment ID: I20230424002541 |
| Provider Name | Christine Gates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073125795 PECOS PAC ID: 5799103933 Enrollment ID: I20230425000072 |
| Provider Name | Katherine Carter Labbay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760102156 PECOS PAC ID: 7315323722 Enrollment ID: I20230503002414 |
| Provider Name | Mackenzie Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154041473 PECOS PAC ID: 4284002320 Enrollment ID: I20230512000498 |
| Provider Name | Preston Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861040370 PECOS PAC ID: 7416288063 Enrollment ID: I20230523002466 |
| Provider Name | Abigail Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922700830 PECOS PAC ID: 8729445218 Enrollment ID: I20230526000651 |
| Provider Name | Vikki Natasha Gaines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619573045 PECOS PAC ID: 8921465758 Enrollment ID: I20230608003062 |
| Provider Name | Noah Huston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205556628 PECOS PAC ID: 4981069101 Enrollment ID: I20230614001447 |
| Provider Name | Scott Milliken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104515725 PECOS PAC ID: 1951760628 Enrollment ID: I20230629000728 |
| Provider Name | Austin R Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770271074 PECOS PAC ID: 1052770492 Enrollment ID: I20230703003030 |
| Provider Name | Kaitlyn Galloway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841986635 PECOS PAC ID: 3577922715 Enrollment ID: I20230706000177 |
| Provider Name | Jacob Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588361455 PECOS PAC ID: 3375902588 Enrollment ID: I20230706002630 |
| Provider Name | Lindsey Michaele Smart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740218007 PECOS PAC ID: 0244699478 Enrollment ID: I20230706003242 |
| Provider Name | Michael Thomas Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871231019 PECOS PAC ID: 1557721040 Enrollment ID: I20230714003652 |
| Provider Name | Laura Bagwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730632555 PECOS PAC ID: 4385004563 Enrollment ID: I20230719003005 |
| Provider Name | Meghan Rhubart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225742901 PECOS PAC ID: 8426419896 Enrollment ID: I20230801003547 |
| Provider Name | Catherine Bowling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427741644 PECOS PAC ID: 0446611784 Enrollment ID: I20230802001897 |
| Provider Name | Dylan Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114677093 PECOS PAC ID: 7113314600 Enrollment ID: I20230804002414 |
| Provider Name | Robert Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720753049 PECOS PAC ID: 2264821990 Enrollment ID: I20230804003279 |
| Provider Name | Clay Fletcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427560283 PECOS PAC ID: 2365708195 Enrollment ID: I20230818000447 |
| Provider Name | Andrea Mathis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124766753 PECOS PAC ID: 2668857988 Enrollment ID: I20230828004057 |
| Provider Name | Rebecca Shipp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932838133 PECOS PAC ID: 4789063165 Enrollment ID: I20230830004050 |
| Provider Name | Eric Makuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992428783 PECOS PAC ID: 6901269125 Enrollment ID: I20230905003289 |
| Provider Name | Modupeoluwa Obiri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891478632 PECOS PAC ID: 9234592478 Enrollment ID: I20230906000074 |
| Provider Name | Erin Elizabeth Carson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457963803 PECOS PAC ID: 6608294590 Enrollment ID: I20230919001612 |
| Provider Name | Ryan Christopher Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689458424 PECOS PAC ID: 3870947955 Enrollment ID: I20230922001672 |
| Provider Name | Seth Trahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427833250 PECOS PAC ID: 2860846417 Enrollment ID: I20230929002947 |
| Provider Name | John Pryce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649961350 PECOS PAC ID: 0941654339 Enrollment ID: I20231004001600 |
| Provider Name | Colin Daniel Pietryk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134816879 PECOS PAC ID: 8325493430 Enrollment ID: I20231010002098 |
| Provider Name | Hunter Reese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710677802 PECOS PAC ID: 8022463017 Enrollment ID: I20231011001614 |
| Provider Name | Jessica Fontana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629790530 PECOS PAC ID: 3375999881 Enrollment ID: I20231019001081 |
| Provider Name | Emily Flynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154475481 PECOS PAC ID: 4688845498 Enrollment ID: I20231024000685 |
| Provider Name | Emily Gubbins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649842378 PECOS PAC ID: 8628472727 Enrollment ID: I20231101003138 |
| Provider Name | Benjamin Taylor West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134801327 PECOS PAC ID: 0648628016 Enrollment ID: I20231122003000 |
| Provider Name | Maeve Talbot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952894768 PECOS PAC ID: 7012261910 Enrollment ID: I20231130000189 |
| Provider Name | Julia Manchester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952175242 PECOS PAC ID: 1254780844 Enrollment ID: I20231207002494 |
| Provider Name | Amethyst Deneal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295512614 PECOS PAC ID: 6406205400 Enrollment ID: I20231215003359 |
| Provider Name | Kylie Jacobs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396431243 PECOS PAC ID: 8022473040 Enrollment ID: I20231218000192 |
| Provider Name | Darren Creary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992376867 PECOS PAC ID: 2365892262 Enrollment ID: I20231218004393 |
| Provider Name | Toshal Samir Thanawala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922781327 PECOS PAC ID: 4587014014 Enrollment ID: I20231227000104 |
| Provider Name | Alexander Bryce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376317941 PECOS PAC ID: 7911357009 Enrollment ID: I20240102003241 |
| Provider Name | Tanaz Falahatpour |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841075496 PECOS PAC ID: 8628424298 Enrollment ID: I20240105003402 |
| Provider Name | Marco Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376248740 PECOS PAC ID: 2860843505 Enrollment ID: I20240108003373 |
| Provider Name | Christopher P O'sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437928280 PECOS PAC ID: 5193176576 Enrollment ID: I20240110002064 |
| Provider Name | Willie Marrow Iii |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427748318 PECOS PAC ID: 1355793217 Enrollment ID: I20240117001247 |
| Provider Name | Sarah E Pierce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982931085 PECOS PAC ID: 6901948926 Enrollment ID: I20240124004300 |
| Provider Name | Stephen Joshua Horac Magalona Dignos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588443428 PECOS PAC ID: 4284087834 Enrollment ID: I20240130002853 |
| Provider Name | Erica Michelle Victorson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073940524 PECOS PAC ID: 5496159568 Enrollment ID: I20240206004408 |
| Provider Name | Kyla Formey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588430243 PECOS PAC ID: 4688017262 Enrollment ID: I20240212000013 |
| Provider Name | Engelbert Astorga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891281465 PECOS PAC ID: 6305280678 Enrollment ID: I20240215000847 |
| Provider Name | Amanda Mannick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851029870 PECOS PAC ID: 8123494911 Enrollment ID: I20240311002362 |
| Provider Name | Christy Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225756943 PECOS PAC ID: 0840675302 Enrollment ID: I20240312001086 |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Physical Therapy, Llc 350 New Fidelity Ct Ste 311, Garner, NC 27529-2665 Ph: (919) 258-2714 | Tidewater Physical Therapy, Llc 771 Pilot House Dr, Suite A, Newport News, VA 23606-1990 Ph: (757) 873-2302 |
Thomas Weniger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 298 Nat Turner Blvd S, Newport News, VA 23606 Phone: 757-596-1900 Fax: 866-853-4930 | |
Emily Dooley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 729 Thimble Shoals Blvd Ste 4c, Newport News, VA 23606 Phone: 757-873-2932 | |
Deborah Anne Mazanek, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 732 Thimble Shoals Blvd, Suite 906, Newport News, VA 23606 Phone: 757-248-9191 Fax: 757-596-2666 | |
Heather Lauth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Omni Blvd Ste 103, Newport News, VA 23606 Phone: 757-223-9103 Fax: 757-223-5546 | |
Dawn M Breckons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11783 Rock Landing Rd, Newport News, VA 23606 Phone: 757-668-6247 | |
Dr. Mercedez James, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12997 Nettles Dr, Newport News, VA 23602 Phone: 757-249-8880 | |
Mrs. Sumer Nicole Williams, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 466 Denbigh Blvd, Newport News, VA 23608 Phone: 757-875-0861 Fax: 757-875-0981 |