| Bradley Jay Deck, | |
|
2978 Centreville Rd, Herndon, VA 20171-6253 | |
| (703) 934-5000 | |
| Not Available |
| Full Name | Bradley Jay Deck |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2978 Centreville Rd, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255983516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119-008157 (Virginia) | Primary |
| Provider Name | Fox Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Jay Deck, 2386b Hickory Nut Ln, Herndon, VA 20171-2841 Ph: (540) 247-9163 | Bradley Jay Deck, 2978 Centreville Rd, Herndon, VA 20171-6253 Ph: (703) 934-5000 |
Sydney Chervenic, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 102 Elden St Ste 12, Herndon, VA 20170 Phone: 703-581-8999 | |
Mona Elsayed, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5407 | |
Mays Omar Awadallah, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Herndon Pkwy Ste 205, Herndon, VA 20170 Phone: 703-929-7235 | |
Kira Sellar, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2978 Centreville Rd, Herndon, VA 20171 Phone: 703-934-5000 | |
Mrs. Diane Hocker Sullivan, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Kingstream Cir, Herndon, VA 20170 Phone: 703-437-5563 | |
Jennifer Hale, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5205 Fax: 703-810-5407 | |
Erica Good, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2980 Centreville Rd, Herndon, VA 20171 Phone: 571-449-6983 |