Callie A Carter (NPI# 1659861904, PAC ID# 3870840051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1659861904 |
| PAC ID by PECOS | 3870840051 |
| Professional Enrollment ID | I20180718003851 |
| Full Name | Callie A Carter |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Address |
44 Broad St Rd Manakin Sabot VA 23103-2213 |
| Phone Number | 8047847090 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 44 Broad St Rd, Manakin Sabot, VA 23103-2213 | 8047847090 | 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 |
44 BROAD ST RD |
| City | MANAKIN SABOT |
| State | VA |
| Zip | 23103-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Shelton Brooks | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
| Melissa Matherly Bowers | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
| Louis A Mazakas | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelson Javier Chen Fernandez | Family Medicine | Centerville Family Practice PC | 46 A Broad St Rd, Manakin Sabot, VA 23103-2213 |
| Berta Lisbeth Granados Ortega | Family Medicine | Centerville Family Practice PC | 46 A Broad St Rd, Manakin Sabot, VA 23103-2213 |
| Lisa A Griffith | Chiropractic | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 | |
| Eric R Carlsen | Chiropractic | Family Chiropractic Center of Richmond LLC | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 |
| Kevin Wayne Ruff | Chiropractic | Family Chiropractic Center of Richmond LLC | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 |
| Timothy L Alder | Diagnostic Radiology | Vista Radiology, PC | 400 Powhatan Hill Pl, Manakin Sabot, VA 23103-3210 |
| City | MANAKIN SABOT |
| Zip Code | 23103 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MANAKIN SABOT + PHYSICAL THERAPY |
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| 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.