Jeremy L. Mccullough (NPI# 1043747983, PAC ID# 0244500197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1043747983 |
| PAC ID by PECOS | 0244500197 |
| Professional Enrollment ID | I20181008000324 |
| Full Name | Jeremy L. Mccullough |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Address |
15331 Creativity Dr Suite 960 Culpeper VA 22701-2502 |
| Phone Number | 5403170888 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15331 Creativity Dr, Suite 960, Culpeper, VA 22701-2502 | 5403170888 | TIDEWATER PHYSICAL THERAPY LLC |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Bauerle | Physical Therapy | Tidewater Physical Therapy LLC | 1149 Jefferson Davis Hwy, Fredericksburg, VA 22401-4413 |
| Melanie Gilbert | Physical Therapy | Tidewater Physical Therapy LLC | 6161 Kempsville Cir, Suite 250, Norfolk, VA 23502-3950 |
| Matthew Shane Harville | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Heather Ann Barlow | Physical Therapy | Tidewater Physical Therapy LLC | 77 Market St, Suite B, Palmyra, VA 22963-4687 |
| Courtney Marie Wilt | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Anthony Vincent Delano | Physical Therapy | Tidewater Physical Therapy LLC | 9980 Brook Rd, Unit 16, Glen Allen, VA 23059-6501 |
| Emily Aven | Physical Therapy | Tidewater Physical Therapy LLC | 4020 Raintree Rd, Suite D, Chesapeake, VA 23321-3749 |
| Michael Eaton | Physical Therapy | Tidewater Physical Therapy LLC | 2033 Colonial Ave Sw, Suite 138, Roanoke, VA 24015-3210 |
| Andrew White | Physical Therapy | Tidewater Physical Therapy LLC | 5801 Patterson Ave, Richmond, VA 23226-2536 |
| Christopher Marchand | Physical Therapy | Tidewater Physical Therapy LLC | 751 J Clyde Morris Blvd, Newport News, VA 23601-1538 |
| Street Address |
15331 CREATIVITY DR SUITE 960 |
| City | CULPEPER |
| State | VA |
| Zip | 22701-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Kucia | Obstetrics/gynecology | University of Virginia Physicians Group | 633 Sunset Clinic A C, Culpeper, VA 22701 |
| Daniel L Price | Psychologist, Clinical | 206 S E St, Culpeper, VA 22701 | |
| Gabrielle M Boodoo | Pediatric Medicine | University of Virginia Physicians Group | 633 Sunset Clinic A C, Culpeper, VA 22701 |
| Maureen M Watts | Registered Dietitian Or Nutrition Professional | 101 Duke St, Suite 203, Culpeper, VA 22701-1511 | |
| Jan R Barklund | Optometry | Myeyedr Optometry of Virginia, Pllc | 15189 Montanus Dr, Culpeper, VA 22701-1679 |
| Angela C Athar | Nurse Practitioner | Ridgeline Physician Services Plc | 15237 Creativity Dr, Culpeper, VA 22701-2504 |
| Erin Nicole Jones | Physician Assistant | Ridgeline Physician Services Plc | 15237 Creativity Dr, Culpeper, VA 22701-2504 |
| John Y Sealander | Family Medicine | Ridgeline Physician Services Plc | 15237 Creativity Dr, Culpeper, VA 22701-2504 |
| Bernadette M Focazio | Nurse Practitioner | Ridgeline Physician Services Plc | 15237 Creativity Dr, Culpeper, VA 22701-2504 |
| Yewande Adeshina | Family Medicine | Ridgeline Physician Services Plc | 15237 Creativity Dr, Culpeper, VA 22701-2504 |
| Find all physicians in zip 22701 | |||
| City | CULPEPER |
| Zip Code | 22701 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CULPEPER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jeremy L. Mccullough.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.