Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy L. McCullough, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1043747983

Jeremy L. McCullough, PT, DPT, CSCS is a Physical Therapist in Private Practice in Culpeper, Virginia. Qualified in 2014, 12 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15331 Creativity Dr # 960
Culpeper, VA 22701
Phone: (840) 317-0888
Fax: (540) 739-7475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305211812 (VA)

Record details

NPI number1043747983
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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