| Virginia's Physical Therapy | |
|
171 Elden St Ste 140, Herndon, VA 20170-4834 | |
| (214) 604-5886 | |
| Not Available |
| Full Name | Virginia's Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 171 Elden St Ste 140, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194430512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (NU) | Secondary |
| 225100000X | Physical Therapist | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| Provider Name | Jekin J Vyas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164938478 PECOS PAC ID: 0941569834 Enrollment ID: I20200218000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia's Physical Therapy 171 Elden St Ste 140, Herndon, VA 20170-4834 Ph: (703) 866-6323 | Virginia's Physical Therapy 171 Elden St Ste 140, Herndon, VA 20170-4834 Ph: (214) 604-5886 |
Krysia Marie Angle, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Elden St Ste 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889 |
Jakob Logan Porter, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13039 Worldgate Dr, Herndon, VA 20170 Phone: 703-689-3164 Fax: 703-689-3167 |
Mrs. Susan Kim Spar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Elden St, Suite 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889 |
Jessica Barrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13019 Worldgate Dr, Herndon, VA 20170 Phone: 703-870-2450 Fax: 703-870-2451 |
Mrs. Nicole Leonie Fainsan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Elden St, Suite 270, Herndon, VA 20170 Phone: 571-340-1922 |
Gayathri Jagadeesan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2120 Wordsworth Ct Apt 202, Herndon, VA 20170 Phone: 571-266-6677 |
Phoenix Rehabilitation And Health Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 Elden St, Herndon, VA 20170 Phone: 443-917-2951 |