Matthew Shane Harville (NPI# 1043869589, PAC ID# 6709118359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1043869589 |
| PAC ID by PECOS | 6709118359 |
| Professional Enrollment ID | I20191030003642 |
| Full Name | Matthew Shane Harville |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Address |
4831 S Laburnum Ave Richmond VA 23231-2713 |
| Phone Number | 8042220726 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4831 S Laburnum Ave, Richmond, VA 23231-2713 | 8042220726 | 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 |
| 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 |
| Juan Jose Diaz | Physical Therapy | Tidewater Physical Therapy LLC | 10438 Iron Bridge Rd, Unit 34, Chester, VA 23831-1427 |
| Street Address |
4831 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip | 23231-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Shane Reynolds | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Fegan H Richmond | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Nicholas L Klein | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Jennifer M Boyle | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Michael P Wilson | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Jane Foreyt | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Ann Boggs | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| Diane Sinnatamby | Infectious Disease | Bon Secours Memorial Regional Medical Center Inc | 4620 S Laburnum Ave, Richmond, VA 23231-2424 |
| Dariush Ashrafi | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| William F Moore | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 4630 S Laburnum Ave, Richmond, VA 23231-2424 |
| Sherry C Allgood | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 4620 S Laburnum Ave, Richmond, VA 23231-2424 |
| Priscilla Witwer | Clinical Social Worker | Henrico County | 4825 S Laburnum Ave, Richmond, VA 23231-2713 |
| Clifford Alan Roffis | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Kenneth Bryce Gordon | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Michael H Osterhoudt | Optometry | Clifford A Roffis Od P C | 4811 S Laburnum Ave, Richmond, VA 23231-2713 |
| Rodney D Diehl | Clinical Social Worker | Henrico County | 4825 S Laburnum Ave, Richmond, VA 23231-2713 |
| Find all physicians in zip 23231 | |||
| City | RICHMOND |
| Zip Code | 23231 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RICHMOND + 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.