| Makeda Fikre-selassie, | |
|
12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 | |
| (703) 647-3130 | |
| Not Available |
| Full Name | Makeda Fikre-selassie |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 12825 Minnieville Rd Ste 201, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952099202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216833 (Virginia) | Primary |
| 225100000X | Physical Therapist | 29642 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Llc | 1355347410 | 304 |
| Provider Name | Fox Rehabilitation Services LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20090811000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Makeda Fikre-selassie, 11961 Cardamom Dr, Woodbridge, VA 22192-1435 Ph: (240) 381-0853 | Makeda Fikre-selassie, 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 Ph: (703) 647-3130 |
Aldous Peter Joshua Baroro Odulio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400 |
Dr. Lauren Elizabeth Farley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400 |
Gilissa Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12825 Minnieville Rd, Lake Ridge, VA 22192 Phone: 703-971-3701 |
Gloria Cruz-fontana, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3486 |
Kristina R Murphy, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 Phone: 703-647-3130 |
Rehab Masters, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3486 |
Sydney Farley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12436 Dillingham Sq, Lake Ridge, VA 22192 Phone: 703-340-2921 |