| Jackson Clinics Limited Partnership | |
|
5900 Fort Dr Ste 208, Centreville, VA 20121-2425 | |
| (703) 830-6360 | |
| (703) 830-6362 |
| Full Name | Jackson Clinics Limited Partnership |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5900 Fort Dr Ste 208, Centreville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639594831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Patricia K Towsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053397737 PECOS PAC ID: 7113965948 Enrollment ID: I20050421000526 |
| Provider Name | Cynthia A Cutright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306822051 PECOS PAC ID: 0941249049 Enrollment ID: I20050428000165 |
| Provider Name | Matthew E Randall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235392234 PECOS PAC ID: 7911061395 Enrollment ID: I20090129000458 |
| Provider Name | Kristin Huppi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760628572 PECOS PAC ID: 6800950239 Enrollment ID: I20090130000262 |
| Provider Name | Bryant Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356587166 PECOS PAC ID: 6507920741 Enrollment ID: I20090203000056 |
| Provider Name | Laura E Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124264957 PECOS PAC ID: 7517021587 Enrollment ID: I20090206000027 |
| Provider Name | Denise Warburton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902014400 PECOS PAC ID: 8628133675 Enrollment ID: I20090219000461 |
| Provider Name | Erin M Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528122835 PECOS PAC ID: 3779640206 Enrollment ID: I20090326000614 |
| Provider Name | Kristopher B Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134365968 PECOS PAC ID: 5193882405 Enrollment ID: I20090331000343 |
| Provider Name | Jennifer J Burda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205068277 PECOS PAC ID: 4183779580 Enrollment ID: I20100108000653 |
| Provider Name | Renae Soule' |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326367731 PECOS PAC ID: 2769512755 Enrollment ID: I20100618000152 |
| Provider Name | Michael Glenn Kecman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568782837 PECOS PAC ID: 0749313278 Enrollment ID: I20100804000086 |
| Provider Name | Danielle E Bloom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053314120 PECOS PAC ID: 9830139153 Enrollment ID: I20110226000059 |
| Provider Name | Cassondra Jurasits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669782983 PECOS PAC ID: 3173706736 Enrollment ID: I20110321000451 |
| Provider Name | Robert Sigler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093000929 PECOS PAC ID: 4981873767 Enrollment ID: I20110811000808 |
| Provider Name | Charlesetta Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427325216 PECOS PAC ID: 5092973438 Enrollment ID: I20120215000102 |
| Provider Name | Phillip Ratliff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457607731 PECOS PAC ID: 8527216613 Enrollment ID: I20120914000250 |
| Provider Name | Alisha Nagda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679845416 PECOS PAC ID: 9537310438 Enrollment ID: I20121126000433 |
| Provider Name | Kristen Z Landers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598017501 PECOS PAC ID: 7719139112 Enrollment ID: I20121211000467 |
| Provider Name | Erin M Spengler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932455078 PECOS PAC ID: 1355593690 Enrollment ID: I20121212000342 |
| Provider Name | Jessica A Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538446364 PECOS PAC ID: 1951553098 Enrollment ID: I20121218000341 |
| Provider Name | Susan K Spar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023220001 PECOS PAC ID: 0143473116 Enrollment ID: I20121227000289 |
| Provider Name | Brittany C Naumann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669804480 PECOS PAC ID: 7315181609 Enrollment ID: I20130927000013 |
| Provider Name | Claire Dulin Ortiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811323819 PECOS PAC ID: 0446488209 Enrollment ID: I20140124001253 |
| Provider Name | Ian Slattery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972823607 PECOS PAC ID: 8123245131 Enrollment ID: I20140815000766 |
| Provider Name | Leah Willis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679972723 PECOS PAC ID: 2860613593 Enrollment ID: I20141022001919 |
| Provider Name | Rebecca Alis Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497131486 PECOS PAC ID: 9032425269 Enrollment ID: I20150902000560 |
| Provider Name | Melissa Ann Huffstetler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114303146 PECOS PAC ID: 6406162692 Enrollment ID: I20150902002464 |
| Provider Name | Erin M Burford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568838324 PECOS PAC ID: 8224346044 Enrollment ID: I20150929000373 |
| Provider Name | Ernst J Van Koetsveld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770611063 PECOS PAC ID: 4082938394 Enrollment ID: I20151002000831 |
| Provider Name | Elizabeth Depasquale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962872432 PECOS PAC ID: 6608185046 Enrollment ID: I20151026000714 |
| Provider Name | Michael Glindmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356624233 PECOS PAC ID: 8325209729 Enrollment ID: I20160427000045 |
| Provider Name | Catherine Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528418258 PECOS PAC ID: 7911299920 Enrollment ID: I20160712002938 |
| Provider Name | Leila Khatouri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871946020 PECOS PAC ID: 0840587515 Enrollment ID: I20160923000043 |
| Provider Name | Hongying Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447793781 PECOS PAC ID: 4981985876 Enrollment ID: I20170109002692 |
| Provider Name | Madhavi Kalavakuri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154771574 PECOS PAC ID: 9638457062 Enrollment ID: I20170126001797 |
| Provider Name | Helene Bengtsson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922540939 PECOS PAC ID: 3274817143 Enrollment ID: I20170222000442 |
| Provider Name | Jane S Summers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952719015 PECOS PAC ID: 6608152343 Enrollment ID: I20170413000150 |
| Provider Name | William Herr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831610567 PECOS PAC ID: 2365714417 Enrollment ID: I20170824000085 |
| Provider Name | Jacqueline Winn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093239899 PECOS PAC ID: 9830462530 Enrollment ID: I20170831000560 |
| Provider Name | Kathryn Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700300811 PECOS PAC ID: 2769755347 Enrollment ID: I20170901001009 |
| Provider Name | Emily K Horst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114445772 PECOS PAC ID: 5496021065 Enrollment ID: I20171026000746 |
| Provider Name | Sonal Sheth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780198481 PECOS PAC ID: 9335407766 Enrollment ID: I20171213000332 |
| Provider Name | Pathik Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780187484 PECOS PAC ID: 2163785783 Enrollment ID: I20180614000018 |
| Provider Name | Jared T Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104310663 PECOS PAC ID: 4284983321 Enrollment ID: I20180822001837 |
| Provider Name | Lauren Michelle Goldberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508358565 PECOS PAC ID: 6406106053 Enrollment ID: I20180904000141 |
| Provider Name | Shawna W Guthrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851884746 PECOS PAC ID: 7012251911 Enrollment ID: I20181204001431 |
| Provider Name | Hilal Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396286696 PECOS PAC ID: 8224314349 Enrollment ID: I20190208002535 |
| Provider Name | Dukyong Jacob Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528525433 PECOS PAC ID: 1052652765 Enrollment ID: I20190424001551 |
| Provider Name | Morgan Jewell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518524495 PECOS PAC ID: 9335476381 Enrollment ID: I20190813003581 |
| Provider Name | Michael Wirtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205481173 PECOS PAC ID: 2365770229 Enrollment ID: I20190830000131 |
| Provider Name | Amanda Jean Cronin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972158467 PECOS PAC ID: 5294064358 Enrollment ID: I20190916000759 |
| Provider Name | Elizabeth Marie Signorelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477100527 PECOS PAC ID: 5991035776 Enrollment ID: I20190920000498 |
| Provider Name | Jeffery Jared Camara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982251989 PECOS PAC ID: 4183954266 Enrollment ID: I20191003000482 |
| Provider Name | Megan E Flaherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013567957 PECOS PAC ID: 5193056422 Enrollment ID: I20191017000143 |
| Provider Name | Lyndsey Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588214308 PECOS PAC ID: 8921339268 Enrollment ID: I20191017000485 |
| Provider Name | Colin Geldart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487204376 PECOS PAC ID: 4688007057 Enrollment ID: I20191126001532 |
| Provider Name | Vanessa Marie Hodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780683946 PECOS PAC ID: 0749614220 Enrollment ID: I20200107001776 |
| Provider Name | Jessica A Steinman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265094197 PECOS PAC ID: 8123454436 Enrollment ID: I20200205001189 |
| Provider Name | Christopher Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851726038 PECOS PAC ID: 8123256815 Enrollment ID: I20200211002566 |
| Provider Name | Abhinav Yadav |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497303374 PECOS PAC ID: 1557784972 Enrollment ID: I20200702001324 |
| Provider Name | Thomas Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144755711 PECOS PAC ID: 3274800420 Enrollment ID: I20200722003645 |
| Provider Name | Rachael Solini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982210829 PECOS PAC ID: 2062831043 Enrollment ID: I20200924000320 |
| Provider Name | Benjamin Birley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124620505 PECOS PAC ID: 9436560992 Enrollment ID: I20201216002396 |
| Provider Name | Jonathan Erick Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447852777 PECOS PAC ID: 5890106355 Enrollment ID: I20201216002582 |
| Provider Name | Dianna Olojo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326634486 PECOS PAC ID: 8426461096 Enrollment ID: I20201229001494 |
| Provider Name | Timothy Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104414416 PECOS PAC ID: 0941613194 Enrollment ID: I20210128000006 |
| Provider Name | Michael C Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417521436 PECOS PAC ID: 7315348794 Enrollment ID: I20210624000190 |
| Provider Name | Madalyn Louise Grafton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811561624 PECOS PAC ID: 2668873951 Enrollment ID: I20210721001668 |
| Provider Name | Christina Holmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215509831 PECOS PAC ID: 1456754472 Enrollment ID: I20210728003977 |
| Provider Name | Ann K Lodovichetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013251420 PECOS PAC ID: 8628334299 Enrollment ID: I20210809001748 |
| Provider Name | Carly Lanier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619642600 PECOS PAC ID: 6608271812 Enrollment ID: I20210826001875 |
| Provider Name | Dalila Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396381208 PECOS PAC ID: 2567868060 Enrollment ID: I20210909000016 |
| Provider Name | Tyler O'toole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730856725 PECOS PAC ID: 0941606347 Enrollment ID: I20210910000436 |
| Provider Name | Raven Jefferson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255906194 PECOS PAC ID: 8325444649 Enrollment ID: I20210910001622 |
| Provider Name | Jonathan B Randle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225576606 PECOS PAC ID: 0345525820 Enrollment ID: I20210913000182 |
| Provider Name | Hunter K Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083371694 PECOS PAC ID: 8325438047 Enrollment ID: I20211210001724 |
| Provider Name | Cristina Marie Belmonte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427716133 PECOS PAC ID: 0648661835 Enrollment ID: I20211223000055 |
| Provider Name | Sarah Joymarie Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629735337 PECOS PAC ID: 2163812926 Enrollment ID: I20211228001892 |
| Provider Name | Hayley Krueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235808072 PECOS PAC ID: 8123426673 Enrollment ID: I20220126001907 |
| Provider Name | Hardeep Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578198206 PECOS PAC ID: 3375936321 Enrollment ID: I20220217001030 |
| Provider Name | Elena C Danos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679227490 PECOS PAC ID: 7618362385 Enrollment ID: I20220315002280 |
| Provider Name | Malena Lennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215682703 PECOS PAC ID: 2365837671 Enrollment ID: I20220324000644 |
| Provider Name | Philip J Forsythe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174282404 PECOS PAC ID: 5395130876 Enrollment ID: I20220325000041 |
| Provider Name | Alison Paul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285383059 PECOS PAC ID: 7214323088 Enrollment ID: I20220404000789 |
| Provider Name | Jacob Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245989912 PECOS PAC ID: 2860888054 Enrollment ID: I20220418000193 |
| Provider Name | Amanda Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285363473 PECOS PAC ID: 4082093968 Enrollment ID: I20220623001397 |
| Provider Name | Christine Ebdlahad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003552126 PECOS PAC ID: 6204215023 Enrollment ID: I20220623003257 |
| Provider Name | Lauren Beshada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639818545 PECOS PAC ID: 3274914668 Enrollment ID: I20220715002552 |
| Provider Name | Natasha Smook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538890975 PECOS PAC ID: 0345622866 Enrollment ID: I20220801000906 |
| Provider Name | Stephen Boettke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942937065 PECOS PAC ID: 1759765365 Enrollment ID: I20220831001838 |
| Provider Name | Amanda N Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336877877 PECOS PAC ID: 8527442011 Enrollment ID: I20220901001219 |
| Provider Name | Marcus Laurence Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407580301 PECOS PAC ID: 7719363845 Enrollment ID: I20220927003200 |
| Provider Name | Meena Ravi Shankar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861113854 PECOS PAC ID: 2769868744 Enrollment ID: I20220928001433 |
| Provider Name | Gauri M Ghan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821711946 PECOS PAC ID: 9234515511 Enrollment ID: I20221025000352 |
| Provider Name | Adriel Delacruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902527161 PECOS PAC ID: 4284000613 Enrollment ID: I20221026000785 |
| Provider Name | Charles Gunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487378873 PECOS PAC ID: 8325415318 Enrollment ID: I20221104000064 |
| Provider Name | Haval Nawroz Rasheed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487362166 PECOS PAC ID: 9739558990 Enrollment ID: I20221209000878 |
| Provider Name | Anna Tunik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558071555 PECOS PAC ID: 8729457478 Enrollment ID: I20221221000459 |
| Provider Name | Kierstin Mireku |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720706583 PECOS PAC ID: 8022480011 Enrollment ID: I20230221002959 |
| Provider Name | Michail S Baskaron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326538679 PECOS PAC ID: 0749653541 Enrollment ID: I20230225000262 |
| Provider Name | Sarah Holst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508414236 PECOS PAC ID: 5193158939 Enrollment ID: I20230303000212 |
| Provider Name | Alexandria M Sharpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831897792 PECOS PAC ID: 3971976234 Enrollment ID: I20230307002218 |
| Provider Name | Jacob W Ruzanski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255037495 PECOS PAC ID: 3476926494 Enrollment ID: I20230315000425 |
| Provider Name | Rachel Leigh Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376242180 PECOS PAC ID: 2860866365 Enrollment ID: I20230324000150 |
| Provider Name | Leandi O'connell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730733890 PECOS PAC ID: 0446589014 Enrollment ID: I20230422000099 |
| Provider Name | Sandra A Osilka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427194752 PECOS PAC ID: 5395774855 Enrollment ID: I20230424000413 |
| Provider Name | Nastassia Chittumuri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104526078 PECOS PAC ID: 7719342351 Enrollment ID: I20230503001940 |
| Provider Name | Christopher Michael Capizzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932892726 PECOS PAC ID: 7618335746 Enrollment ID: I20230622001649 |
| Provider Name | Marco I Mirnics |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033893284 PECOS PAC ID: 2860851433 Enrollment ID: I20230630000064 |
| Provider Name | Sharon Xu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255025680 PECOS PAC ID: 6507226172 Enrollment ID: I20230811002100 |
| Provider Name | Cecyle Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306410857 PECOS PAC ID: 9739589219 Enrollment ID: I20230828001650 |
| Provider Name | Stephanie Jane Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174177893 PECOS PAC ID: 7517320658 Enrollment ID: I20230831000548 |
| Provider Name | Cris Fedalizo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518388685 PECOS PAC ID: 9931339496 Enrollment ID: I20230908002040 |
| Provider Name | Mehrdad Bahramian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184313074 PECOS PAC ID: 6103280060 Enrollment ID: I20230911002167 |
| Provider Name | Oluchi Ike |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801580923 PECOS PAC ID: 9638533011 Enrollment ID: I20230919001278 |
| Provider Name | David Bambilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871372789 PECOS PAC ID: 2163877317 Enrollment ID: I20231009002642 |
| Provider Name | Alayna Salzler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265115976 PECOS PAC ID: 9638524689 Enrollment ID: I20231011000368 |
| Provider Name | Alex Hannah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043985195 PECOS PAC ID: 2264838069 Enrollment ID: I20231109002515 |
| Provider Name | Aziz Fatima Bhatti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225766405 PECOS PAC ID: 9931558145 Enrollment ID: I20231213003202 |
| Provider Name | Daniel Rosette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982481057 PECOS PAC ID: 2567812274 Enrollment ID: I20231221000402 |
| Provider Name | Tyler Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437925336 PECOS PAC ID: 5294185310 Enrollment ID: I20240104003616 |
| Provider Name | Dina Acosta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659832905 PECOS PAC ID: 6507190717 Enrollment ID: I20240222000604 |
| Provider Name | Garrett Frederick Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295431872 PECOS PAC ID: 0446616742 Enrollment ID: I20240229000509 |
| Provider Name | Sarah Corinne Zeni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285499616 PECOS PAC ID: 6709222300 Enrollment ID: I20240305004641 |
| Provider Name | Mackenzie Scott Lauder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275398257 PECOS PAC ID: 6103262571 Enrollment ID: I20240307001726 |
| Provider Name | Patrick A Lansdale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215790357 PECOS PAC ID: 2668818071 Enrollment ID: I20240307002947 |
| Provider Name | Elizabeth Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407576804 PECOS PAC ID: 8325423494 Enrollment ID: I20240319003358 |
| Provider Name | Daniel Godoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497510119 PECOS PAC ID: 2163869280 Enrollment ID: I20240326000413 |
| Provider Name | Delaney Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730850074 PECOS PAC ID: 2163811001 Enrollment ID: I20240328000051 |
| Provider Name | Collin Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891454088 PECOS PAC ID: 6002257490 Enrollment ID: I20240516001574 |
| Provider Name | Nathan Schaffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902652456 PECOS PAC ID: 7810338175 Enrollment ID: I20240517000262 |
| Provider Name | Dominic Veliz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154012565 PECOS PAC ID: 5092157255 Enrollment ID: I20240521000329 |
| Provider Name | Danielle Eileen Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083463889 PECOS PAC ID: 0446792592 Enrollment ID: I20240605001010 |
| Provider Name | Quentin Mccall Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790533164 PECOS PAC ID: 3173066321 Enrollment ID: I20240617002654 |
| Provider Name | Macie Noelani Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477393007 PECOS PAC ID: 0345783247 Enrollment ID: I20240620001182 |
| Provider Name | Hannah Renee Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255173555 PECOS PAC ID: 4789127697 Enrollment ID: I20240620001278 |
| Provider Name | Gabrielle Hofilena |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639910672 PECOS PAC ID: 4183167620 Enrollment ID: I20240625001433 |
| Provider Name | Lindsey M Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316781008 PECOS PAC ID: 7315482247 Enrollment ID: I20240715003643 |
| Provider Name | Abigail Rose Rossiter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285320408 PECOS PAC ID: 4688118367 Enrollment ID: I20240725003075 |
| Provider Name | Meghan Elizabeth Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497590368 PECOS PAC ID: 5799222535 Enrollment ID: I20240730001300 |
| Provider Name | Dongyang Cai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124861976 PECOS PAC ID: 7012455983 Enrollment ID: I20240812000463 |
| Provider Name | Elisabeth Marie Stephens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417705526 PECOS PAC ID: 2567900228 Enrollment ID: I20240816000210 |
| Provider Name | Adam Foster Schreiman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649017617 PECOS PAC ID: 3971042763 Enrollment ID: I20240823003569 |
| Provider Name | Rony Alejandro Roman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487485140 PECOS PAC ID: 5193263242 Enrollment ID: I20240830000179 |
| Provider Name | Nicole Felder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578307872 PECOS PAC ID: 6204375330 Enrollment ID: I20240903002565 |
| Provider Name | Thomas A Brezinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265265052 PECOS PAC ID: 3072053396 Enrollment ID: I20240912002142 |
| Provider Name | Heather Nichole Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275379331 PECOS PAC ID: 0941740237 Enrollment ID: I20240913000286 |
| Provider Name | Collin David Close |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992543227 PECOS PAC ID: 2365983236 Enrollment ID: I20240918003285 |
| Provider Name | Maria Gmas Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356184329 PECOS PAC ID: 1052852605 Enrollment ID: I20240923001931 |
| Provider Name | Stephanie Elmaleh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235822891 PECOS PAC ID: 7517402837 Enrollment ID: I20241202001704 |
| Provider Name | Anas Abdulrahman Al-shrawi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376380428 PECOS PAC ID: 8022544329 Enrollment ID: I20241210003414 |
| Provider Name | Matthew Adam Wachtman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437847316 PECOS PAC ID: 7315475951 Enrollment ID: I20250110001486 |
| Provider Name | Jennifer Bouvagnet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699505198 PECOS PAC ID: 3072054543 Enrollment ID: I20250115001902 |
| Provider Name | Sara Alyson Leighanne Noble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134777246 PECOS PAC ID: 6800326406 Enrollment ID: I20250212001368 |
| Provider Name | Adam Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922750512 PECOS PAC ID: 2769878297 Enrollment ID: I20250220004070 |
| Provider Name | Jose A Soto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851831804 PECOS PAC ID: 8123549755 Enrollment ID: I20250311002908 |
| Provider Name | Linda Lee Currier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962575969 PECOS PAC ID: 1850813791 Enrollment ID: I20250319004287 |
| Provider Name | Adelai Izabel Spiegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528770120 PECOS PAC ID: 9133599327 Enrollment ID: I20250329000057 |
| Provider Name | Yorwin Velasquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043083736 PECOS PAC ID: 9638527328 Enrollment ID: I20250331003277 |
| Provider Name | Mariah Lashae Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346993201 PECOS PAC ID: 6608260609 Enrollment ID: I20250414002596 |
| Provider Name | Deja Linton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730989666 PECOS PAC ID: 4082138318 Enrollment ID: I20250415000567 |
| Provider Name | Ryan Dobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639813470 PECOS PAC ID: 9032596853 Enrollment ID: I20250415001019 |
| Provider Name | Jack Thomas Duvall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053101345 PECOS PAC ID: 0648798199 Enrollment ID: I20250519000838 |
| Provider Name | Monica Sarah Tseng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619705621 PECOS PAC ID: 6608394036 Enrollment ID: I20250519002888 |
| Provider Name | Georgiana Simona Voiebuna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346035862 PECOS PAC ID: 6507384724 Enrollment ID: I20250520004280 |
| Provider Name | Benjaimin Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457144883 PECOS PAC ID: 5395254270 Enrollment ID: I20250603000050 |
| Provider Name | Ian Alexander Fourney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528851821 PECOS PAC ID: 4183134240 Enrollment ID: I20250609000091 |
| Provider Name | Allison Cesare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285395897 PECOS PAC ID: 4486020575 Enrollment ID: I20250610000838 |
| Provider Name | Stephanie Marie Budrock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699669507 PECOS PAC ID: 9931619509 Enrollment ID: I20250611003737 |
| Provider Name | Angela Carstens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881581098 PECOS PAC ID: 0143733261 Enrollment ID: I20250701004703 |
| Provider Name | Haille Hope Hatter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659162261 PECOS PAC ID: 1153834171 Enrollment ID: I20250722001619 |
| Provider Name | Amelia Ely |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700672805 PECOS PAC ID: 8022524156 Enrollment ID: I20250724000140 |
| Provider Name | Victoria Junious |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831854611 PECOS PAC ID: 4981089513 Enrollment ID: I20250729004342 |
| Provider Name | John J Ciccarello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477954485 PECOS PAC ID: 1850603168 Enrollment ID: I20250813004332 |
| Provider Name | Allison M May |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780149203 PECOS PAC ID: 7517491277 Enrollment ID: I20250819005214 |
| Provider Name | Steven Van Huynh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699657932 PECOS PAC ID: 3173023033 Enrollment ID: I20250825001937 |
| Provider Name | Bradley Owaka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598640625 PECOS PAC ID: 7214437110 Enrollment ID: I20250825002646 |
| Provider Name | Gabrielle Geneva Skorey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619864956 PECOS PAC ID: 8123529690 Enrollment ID: I20250827004633 |
| Provider Name | Delanie Jane Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194603795 PECOS PAC ID: 7719480896 Enrollment ID: I20250913000038 |
| Provider Name | Sarah Sonya Kazarian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932089711 PECOS PAC ID: 7214432863 Enrollment ID: I20250924003559 |
| Provider Name | Karen Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477334910 PECOS PAC ID: 9436640018 Enrollment ID: I20251111002936 |
| Provider Name | Emmy C Woo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427805076 PECOS PAC ID: 9133612534 Enrollment ID: I20251203004479 |
| Provider Name | Roy A Etta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972464055 PECOS PAC ID: 9739673112 Enrollment ID: I20251212001381 |
| Provider Name | Shaista Ambreen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316469042 PECOS PAC ID: 6103153713 Enrollment ID: I20251218001923 |
| Provider Name | Muhammad Shahril Ashraf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194685693 PECOS PAC ID: 6608361977 Enrollment ID: I20251223004698 |
| Provider Name | Jazleen Virk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033097670 PECOS PAC ID: 3870089410 Enrollment ID: I20260102001166 |
| Provider Name | Maya Hamze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285598128 PECOS PAC ID: 3577059153 Enrollment ID: I20260102002921 |
| Provider Name | Kylie Knight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669248761 PECOS PAC ID: 2365893062 Enrollment ID: I20260130001817 |
| Provider Name | Anne Volmert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235609678 PECOS PAC ID: 1456698562 Enrollment ID: I20260219000282 |
| Provider Name | Adam Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053271445 PECOS PAC ID: 5698257590 Enrollment ID: I20260227004227 |
| Provider Name | Marin H Bronaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093669608 PECOS PAC ID: 4082197348 Enrollment ID: I20260313004214 |
| Provider Name | Phillip Munck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083553937 PECOS PAC ID: 2365917788 Enrollment ID: I20260413002898 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Clinics Limited Partnership 12701 Fair Lakes Cir Ste 102, Fairfax, VA 22033-4913 Ph: (888) 889-6363 | Jackson Clinics Limited Partnership 5900 Fort Dr Ste 208, Centreville, VA 20121-2425 Ph: (703) 830-6360 |
Paul Frizelle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13890 Braddock Rd, Suite 102, Centreville, VA 20121 Phone: 703-830-6360 Fax: 703-830-6362 |
Step By Step Pediatric Therapy Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14527 Picket Oaks Rd, Centreville, VA 20121 Phone: 703-222-2421 Fax: 703-222-2421 |
Daniel Antonucci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6325 Multiplex Dr Unit 2, Centreville, VA 20121 Phone: 571-932-3470 Fax: 571-932-8075 |
Annie Golovcsenko, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13890 Braddock Rd Ste 207, Centreville, VA 20121 Phone: 540-720-2261 Fax: 540-720-5660 |
Sofia C Corpuz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6325 Multiplex Dr, Centreville, VA 20121 Phone: 571-932-3470 |
Creative Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5829 Stream Pond Ct, Centreville, VA 20120 Phone: 703-910-5006 Fax: 888-314-6706 |
Phillip Munck, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5900 Fort Dr Ste 208, Centreville, VA 20121 Phone: 703-830-6360 Fax: 703-830-6362 |