| Tyler S Clark, DPT | |
|
11015 Warwick Blvd, Newport News, VA 23601-3225 | |
| (757) 995-1903 | |
| Not Available |
| Full Name | Tyler S Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 11015 Warwick Blvd, Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568087039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305213656 (Virginia) | Primary |
| Provider Name | Best Life Physical Therapy And Sports Medicine |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619240033 PECOS PAC ID: 1355500240 Enrollment ID: O20120426000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler S Clark, DPT 5252 Lyngate Ct Ste 203, Burke, VA 22015-1673 Ph: (703) 349-2255 | Tyler S Clark, DPT 11015 Warwick Blvd, Newport News, VA 23601-3225 Ph: (757) 995-1903 |
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 |