| Sergio Madrid, PT, DPT | |
|
4084 University Dr Ste 103, Fairfax, VA 22030-6803 | |
| (703) 896-9999 | |
| (703) 896-9998 |
| Full Name | Sergio Madrid |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4084 University Dr Ste 103, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407557200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305215561 (Virginia) | Primary |
| Provider Name | Bodies In Motion Physical Therapy Iii, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952629123 PECOS PAC ID: 3971627753 Enrollment ID: O20100831000566 |
| Provider Name | Statera Spring Valley Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124751219 PECOS PAC ID: 2668842865 Enrollment ID: O20230104002512 |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio Madrid, PT, DPT 4084 University Dr Ste 103, Fairfax, VA 22030-6803 Ph: (703) 896-9999 | Sergio Madrid, PT, DPT 4084 University Dr Ste 103, Fairfax, VA 22030-6803 Ph: (703) 896-9999 |
Joseph Charles Berry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4227 Summit Manor Ct Apt 103, Fairfax, VA 22033 Phone: 941-447-7992 | |
Thomas Finnegan Ronayne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8501 Arlington Blvd Ste 200, Fairfax, VA 22031 Phone: 703-970-6490 | |
Kathleen Beight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3642 Fax: 703-391-3455 | |
Beena Nair, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3580 Joseph Siewick Dr Ste 202, Fairfax, VA 22033 Phone: 703-391-2450 Fax: 703-391-3142 | |
Mrs. Carolyn Marie Libert, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8301 Arlington Blvd, Suite 102, Fairfax, VA 22031 Phone: 703-207-8315 Fax: 703-573-2143 | |
Katherine Booker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 Phone: 703-716-4794 Fax: 703-716-4806 | |
Mrs. Laurie Elizabeth Cunningham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3750 Old Lee Hwy, Fairfax, VA 22030 Phone: 703-246-7184 Fax: 703-246-7307 |