| Mr Douglas Kendrick Chan, PT | |
|
3767 Fettler Park Drive, Dumfries, VA 22025 | |
| (703) 730-6400 | |
| Not Available |
| Full Name | Mr Douglas Kendrick Chan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 33 Years |
| Location | 3767 Fettler Park Drive, Dumfries, 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 |
|---|---|---|---|
| 1376616268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305006554 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Physical Therapy Llc | 4183948011 | 3 |
| Provider Name | Professional Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114321619 PECOS PAC ID: 4183948011 Enrollment ID: O20150123000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Kendrick Chan, PT 4328 Tarpon Ln, Alexandria, VA 22309-3135 Ph: (703) 780-0188 | Mr Douglas Kendrick Chan, PT 3767 Fettler Park Drive, Dumfries, VA 22025 Ph: (703) 730-6400 |
Emily Amelung, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3695 Fettler Park Dr, Dumfries, VA 22025 Phone: 571-427-4378 Fax: 571-883-4378 | |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 Fax: 703-441-7695 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 |