Tish K Long (NPI# 1013428333, PAC ID# 1557621901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1013428333 |
| PAC ID by PECOS | 1557621901 |
| Professional Enrollment ID | I20180205001654 |
| Full Name | Tish K Long |
| Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
| Address |
4624 Pembroke Blvd Suite 101 Virginia Beach VA 23455-6450 |
| Phone Number | 7574603363 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406759281 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4624 Pembroke Blvd, Suite 101, Virginia Beach, VA 23455-6450 | 7574603363 | 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 |
4624 PEMBROKE BLVD SUITE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23455-6450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florisa S Singson | Family Medicine | 4501 N Witch Duck Rd, Suite B, Virginia Beach, VA 23455 | |
| Catherine I Bowers | Registered Dietitian Or Nutrition Professional | 2501 Windy Rd, Virginia Beach, VA 23455-1532 | |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Jamie Ducharme | Psychologist, Clinical | 2005 Pleasure House Rd, Virginia Beach, VA 23455-2709 | |
| Sam Waltos | Family Medicine | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Samurdhi J Roberts | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Leah A Stewart | Nurse Practitioner | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Thomas J Morgan | Chiropractic | 4837 Shore Dr, Virginia Beach, VA 23455-2714 | |
| Carly Schuler Swift | Chiropractic | 4640 Shore Dr, Suite 106, Virginia Beach, VA 23455-2859 | |
| Mark Scott | Chiropractic | 1801 Pleasure House Rd, Suite 105, Virginia Beach, VA 23455-2990 | |
| Find all physicians in zip 23455 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | VIRGINIA BEACH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tish K Long.
| 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.