| Jeron Mendoza, DPT | |
|
15195 Heathcote Blvd Ste 334, Haymarket, VA 20169-6244 | |
| (703) 334-5405 | |
| Not Available |
| Full Name | Jeron Mendoza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 15195 Heathcote Blvd Ste 334, Haymarket, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194105924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 2305209466 (Virginia) | Primary |
| Provider Name | Orthovirginia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeron Mendoza, DPT Po Box 715868, Philadelphia, PA 19171-2626 Ph: (804) 915-1910 | Jeron Mendoza, DPT 15195 Heathcote Blvd Ste 334, Haymarket, VA 20169-6244 Ph: (703) 334-5405 |
Professional Sportscare & Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6530 Trading Sq, Haymarket, VA 20169 Phone: 571-932-3480 | |
Rachel Cornish Panosian, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5300 Merchants View Sq Ste 110, Haymarket, VA 20169 Phone: 571-248-0232 | |
Mrs. Amber Kristen Tarbet, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6485 Ashby Grove Loop, Haymarket, VA 20169 Phone: 214-532-4973 | |
Alexandra L Parillo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15195 Heathcote Blvd, Suite 334, Haymarket, VA 20169 Phone: 804-915-1910 | |
Helen Hurst Loera, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 Merchants View Sq Ste 110, Haymarket, VA 20169 Phone: 571-248-0232 Fax: 571-619-6385 | |
Dr. Christina Louise Martin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5300 Merchants View Sq Ste 110, Haymarket, VA 20169 Phone: 571-248-0232 |