| Andrew Stube, DPT, OCS | |
|
4812 Kyloe Ln, Moseley, VA 23120-1242 | |
| (804) 248-1617 | |
| (804) 533-0527 |
| Full Name | Andrew Stube |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 4812 Kyloe Ln, Moseley, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053743864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305208165 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Functional Pathways Preferred Of Tennessee Llc | 2860649654 | 195 |
| Virginia Luna Care Physical Therapy Llc | 0941615405 | 91 |
| Virginia Luna Care Physical Therapy Llc | 0941615405 | 91 |
| Provider Name | Virginia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Stube, DPT, OCS Po Box 1769, Middleburg, VA 20118-1769 Ph: (540) 687-8181 | Andrew Stube, DPT, OCS 4812 Kyloe Ln, Moseley, VA 23120-1242 Ph: (804) 248-1617 |
Mr. Deepak Sharma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7307 Wild Senna Trl, Moseley, VA 23120 Phone: 804-873-3336 | |
Dr. Philippe Marie Blot, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16306 Midnight Xing, Moseley, VA 23120 Phone: 631-241-4221 | |
Forge Performance Rx Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4812 Kyloe Ln, Moseley, VA 23120 Phone: 804-372-5679 |