| Nova Prime Physical Therapy Pllc | |
|
13995 Metrotech Dr, Chantilly, VA 20151-3240 | |
| (571) 774-6378 | |
| Not Available |
| Full Name | Nova Prime Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13995 Metrotech Dr, Chantilly, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073226825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Shital K Gandhi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205389475 PECOS PAC ID: 5395032700 Enrollment ID: I20160929000536 |
| Provider Name | Krutika Lakhani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144715277 PECOS PAC ID: 9537403753 Enrollment ID: I20181129000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Prime Physical Therapy Pllc Po Box 222092, Chantilly, VA 20153-2092 Ph: (571) 774-6378 | Nova Prime Physical Therapy Pllc 13995 Metrotech Dr, Chantilly, VA 20151-3240 Ph: (571) 774-6378 |
Bhumi Anish Desai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24801 Pinebrook Rd Ste 200, Chantilly, VA 20152 Phone: 703-722-2525 | |
Dr. Samantha L Sova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd Ste 240, Chantilly, VA 20151 Phone: 571-386-3820 | |
Daren Moat, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24801 Pinebrook Rd Ste 200, Chantilly, VA 20152 Phone: 703-722-2525 Fax: 703-327-6708 | |
Mr. Roberto Infante, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr, 1250, Chantilly, VA 20151 Phone: 703-263-2020 Fax: 703-263-2015 | |
Sylvia Carpenter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd, Ste 240, Chantilly, VA 20151 Phone: 703-727-0570 | |
Zainab M Rasool, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24801 Pinebrook Rd Ste 120, Chantilly, VA 20152 Phone: 703-722-2525 |