| Tidewater Physical Therapy, Llc | |
|
6970 Fox Hunt Ln, Gloucester, VA 23061-5394 | |
| (804) 694-8111 | |
| (804) 694-5574 |
| Full Name | Tidewater Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6970 Fox Hunt Ln, Gloucester, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619992872 | NPI | - | NPPES |
| 192960 | Other | VA | BCBS (PT) |
| 223951103 | Other | VA | DOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Physical Therapy, Llc 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (252) 248-3313 | Tidewater Physical Therapy, Llc 6970 Fox Hunt Ln, Gloucester, VA 23061-5394 Ph: (804) 694-8111 |
William Clinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6970 Fox Hunt Ln, Gloucester, VA 23061 Phone: 757-873-2302 Fax: 804-694-5574 | |
Mrs. Natalie Conway, PT, MPT, OCS, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6970 Fox Hunt Ln, Gloucester, VA 23061 Phone: 757-694-8111 Fax: 804-694-5574 | |
Kelli G. Belvin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6099 T C Walker Rd, Gloucester, VA 23061 Phone: 804-693-7880 | |
Richard Thomas Sieller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6970 Fox Hunt Ln, Gloucester, VA 23061 Phone: 804-694-8111 Fax: 804-694-5574 | |
Amy D. Beatty, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6970 Fox Hunt Ln, Gloucester, VA 23061 Phone: 804-694-8111 Fax: 804-694-5574 | |
Sonia A Maynard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6450 Ark Rd, Gloucester, VA 23061 Phone: 316-925-1274 | |
Mr. Steven R Wilde, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6970 Fox Hunt Ln, Gloucester, VA 23061 Phone: 804-694-8111 Fax: 804-694-5574 |