Diane Cranendonk (NPI# 1285631283, PAC ID# 6709910334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1285631283 |
| PAC ID by PECOS | 6709910334 |
| Professional Enrollment ID | I20100817001448 |
| Full Name | Diane Cranendonk |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Address |
2925 Polo Pkwy Midlothian VA 23113-1453 |
| Phone Number | 8047947587 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 8047947587 | TIDEWATER PHYSICAL THERAPY LLC |
| 12494 Warwick Blvd, Newport News, VA 23606-3000 | 7575995551 | 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 |
2925 POLO PKWY |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23113-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Candice Crouse | Physical Therapy | Tidewater Physical Therapy LLC | 2925 Polo Pkwy, Midlothian, VA 23113-1453 |
| Adam P Powell | Physical Therapy | Tidewater Physical Therapy LLC | 2925 Polo Pkwy, Midlothian, VA 23113-1453 |
| Ronald Steven Brocato | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 2925 Polo Pkwy, Midlothian, VA 23113-1453 |
| Wendy Popp | Physical Therapy | Procare Physical Therapy Inc | 2925 Polo Pkwy, Midlothian, VA 23113-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Leaton | Neurology | Central Virginia Neurology, Plc | 14355 Sommerville Court, Midlothian, VA 23113 |
| Richard Waller | Neurology | Central Virginia Neurology, Plc | 14355 Sommerville Court, Midlothian, VA 23113 |
| Robert D Green | Chiropractic | 2900 Polo Pkwy, Suite 101, Midlothian, VA 23113-1423 | |
| Bryan P Wheeler | Maxillofacial Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 11319 Polo Pl, Midlothian, VA 23113-1434 |
| Josephine S Bohannon | Dermatology | 2306 Robious Station Cir, Midlothian, VA 23113-2124 | |
| Richard Lewis Jr. | Plastic and Reconstructive Surgery | 2331 Robious Station Cir A, Midlothian, VA 23113-2124 | |
| Rebecca B Koenig | Clinical Social Worker | 1700 Huguenot Rd, Suite 2b, Midlothian, VA 23113-2397 | |
| Lynda H Leslie | Clinical Social Worker | 1700 Huquenot Rd D, Midlothian, VA 23113-2397 | |
| Jere' Kitchen | Nurse Practitioner | Commonwealth Primary Care | 1529 Huguenot Rd A, Midlothian, VA 23113-2426 |
| Christianne P Mclean | Internal Medicine | Commonwealth Primary Care | 1529 Huguenot Rd A, Midlothian, VA 23113-2426 |
| Find all physicians in zip 23113 | |||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MIDLOTHIAN + 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.