| Dr Mary Jean Stack, DPT | |
|
766 Walker Rd Ste B, Great Falls, VA 22066-2650 | |
| (202) 349-1030 | |
| (703) 364-5124 |
| Full Name | Dr Mary Jean Stack |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 766 Walker Rd Ste B, Great Falls, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508262734 | NPI | - | NPPES |
| 1508262734 | Other | NPI | |
| PT872017 | Other | DC | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305212350 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Falls Physical Therapy Llc | 6406286533 | 5 |
| Provider Name | Great Falls Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497304976 PECOS PAC ID: 6406286533 Enrollment ID: O20200414000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Jean Stack, DPT 766 Walker Rd Ste B, Great Falls, VA 22066-2650 Ph: (202) 349-1030 | Dr Mary Jean Stack, DPT 766 Walker Rd Ste B, Great Falls, VA 22066-2650 Ph: (202) 349-1030 |
Ace Physical Therapy & Sports Medicine Institute, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10123 Colvin Run Rd, Great Falls, VA 22066 Phone: 703-205-1233 | |
Sarah E Bellman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 766 Walker Rd Ste B, Great Falls, VA 22066 Phone: 703-349-1030 Fax: 703-364-5124 | |
Ms. Hediyeh Tabibian, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11575 Seneca Hill Ct, Great Falls, VA 22066 Phone: 703-981-6588 | |
Pelvic Healing And Wellness Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10412 Artemel Ln, Great Falls, VA 22066 Phone: 571-214-5946 | |
Fernan Lance Pasco Oconer, DPT, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1131 Walker Rd, Great Falls, VA 22066 Phone: 703-223-5226 | |
Great Falls Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 766 Walker Rd Ste B, Great Falls, VA 22066 Phone: 703-349-1030 Fax: 703-364-5124 |