Matthew John Hogan, | |
7223 Commerce St Ste 40, Springfield, VA 22150-3411 | |
(703) 935-1999 | |
Not Available |
Full Name | Matthew John Hogan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7223 Commerce St Ste 40, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548801152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213214 (Virginia) | Primary |
Provider Name | Professional Sportscare & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20161101000040 |
Mailing Address | Practice Location Address |
---|---|
Matthew John Hogan, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Matthew John Hogan, 7223 Commerce St Ste 40, Springfield, VA 22150-3411 Ph: (703) 935-1999 |
Greenspring Village, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7400 Spring Village Dr, Springfield, VA 22150 Phone: 703-923-4600 | |
Chad Van Ramshorst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, Springfield, VA 22150 Phone: 714-803-1784 | |
Samantha Staley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 200, Springfield, VA 22152 Phone: 484-787-2200 | |
Patricia K Towsley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6551 Loisdale Ct, Suite 155, Springfield, VA 22150 Phone: 703-822-0039 Fax: 703-822-0211 | |
Kristen Mosher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6551 Loisdale Ct, Suite 155, Springfield, VA 22150 Phone: 703-822-0039 Fax: 703-822-0211 | |
Susan Perkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln, Suite 200, Springfield, VA 22152 Phone: 703-569-7500 Fax: 703-866-0158 | |
Victoria Hunter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Industrial Rd Unit 3100, Springfield, VA 22151 Phone: 703-256-2171 |