| Mariah Lashae Gray, DPT, PT | |
|
5900 Fort Dr Ste 208, Centreville, VA 20121-2425 | |
| (703) 830-6360 | |
| (703) 830-6362 |
| Full Name | Mariah Lashae Gray |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 5900 Fort Dr Ste 208, Centreville, 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 |
|---|---|---|---|
| 1346993201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP055158T (Virginia) | Primary |
| 225100000X | Physical Therapist | 28794 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lhmg Physical Therapy, Llc | 3870893738 | 101 |
| Jackson Clinics Limited Partnership | 2860623295 | 116 |
| Jackson Clinics Limited Partnership | 2860623295 | 116 |
| Provider Name | Lhmg Physical Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396122842 PECOS PAC ID: 3870893738 Enrollment ID: O20151201000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Lashae Gray, DPT, PT 12701 Fair Lakes Cir Ste 102, Fairfax, VA 22033-4913 Ph: (703) 830-6360 | Mariah Lashae Gray, DPT, PT 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 |