| Kyle Pulford, | |
|
4613 Duke St Ste B, Alexandria, VA 22304-2559 | |
| (703) 751-1052 | |
| (703) 751-1053 |
| Full Name | Kyle Pulford |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 4613 Duke St Ste B, Alexandria, 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 |
|---|---|---|---|
| 1508341587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305214202 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 23926 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Sept, Llc | 7911990908 | 166 |
| Ivyrehab Sept, Llc | 7911990908 | 166 |
| Provider Name | Professional Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007 |
| Provider Name | Ivyrehab Sept, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240212002520 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Pulford, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Kyle Pulford, 4613 Duke St Ste B, Alexandria, VA 22304-2559 Ph: (703) 751-1052 |
Danielle Leshinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4613 Duke St Ste B, Alexandria, VA 22304 Phone: 703-751-1052 Fax: 703-751-1053 | |
Natalie Lauren De Selding, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Reinekers Ln Ste Gr4, Alexandria, VA 22314 Phone: 703-299-3111 | |
Rabab Shah, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6856 Richmond Hwy, Alexandria, VA 22306 Phone: 571-348-1201 | |
Karen Godley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6910 Richmond Hwy Ste 200, Alexandria, VA 22306 Phone: 703-765-7700 | |
Ms. Carolyn Haugh Byron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 Radford Ave Ste 100, Alexandria, VA 22309 Phone: 571-481-4547 Fax: 571-551-6419 | |
Chelsea Kemlage, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln, Suite 204, Alexandria, VA 22310 Phone: 703-810-5214 Fax: 703-810-5494 | |
Noelle Ekonomou, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5236 Dawes Ave, Alexandria, VA 22311 Phone: 571-306-0121 |