| Brian Boston, PT, DPT | |
|
5001 Langston Blvd Ste 102a, Arlington, VA 22207-2538 | |
| (571) 970-6068 | |
| Not Available |
| Full Name | Brian Boston |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5001 Langston Blvd Ste 102a, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700686268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216148 (Virginia) | Primary |
| Provider Name | Bull Dawg Athletic Training, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487964672 PECOS PAC ID: 9931378676 Enrollment ID: O20161020001760 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Boston, PT, DPT 2536b Fairfax Dr, Arlington, VA 22201-2865 Ph: (703) 351-7962 | Brian Boston, PT, DPT 5001 Langston Blvd Ste 102a, Arlington, VA 22207-2538 Ph: (571) 970-6068 |
Peter Zatezalo, DPT, OCS, COMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1033 S Edgewood St, Arlington, VA 22204 Phone: 703-289-0389 | |
Maxwell Blake, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Wilson Blvd Ste 102, Arlington, VA 22209 Phone: 703-935-1996 Fax: 703-935-1995 | |
Anjali R Ghodake, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2441 N Harrison St Ste 2443, Arlington, VA 22207 Phone: 571-533-3686 Fax: 571-534-4800 | |
George Gradwell Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste Gr2, Arlington, VA 22203 Phone: 703-527-1700 | |
Jessica Lavine Gould, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Columbia Pike Apt 125, Arlington, VA 22204 Phone: 571-701-2191 | |
Mrs. Julie Marie Carpenter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5165 11th St S, Arlington, VA 22204 Phone: 703-933-0297 | |
Daniela Del Carmen Zapata, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste Gr2, Arlington, VA 22203 Phone: 703-243-1300 |