| Brain Treatment Center Ashburn | |
|
44355 Premier Plz Ste 220 Ashburn VA 20147-5050 | |
| (202) 306-2821 | |
| Not Available |
| Full Name | Brain Treatment Center Ashburn |
|---|---|
| Speciality | Clinic/Center |
| Location | 44355 Premier Plz Ste 220, Ashburn, Virginia |
| Authorized Official Name and Position | Marsha Lessard (OWNER) |
| Authorized Official Contact | 2023062821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Treatment Center Ashburn 12236 Elvan Rd Lovettsville VA 20180-2831 Ph: (202) 306-2821 | Brain Treatment Center Ashburn 44355 Premier Plz Ste 220 Ashburn VA 20147-5050 Ph: (202) 306-2821 |
| NPI Number | 1609616838 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 03/20/2026 |
| Certification Date | 03/20/2026 |
| Medicare PECOS PAC ID | 9436699808 |
|---|---|
| Medicare Enrollment ID | O20240912000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609616838 | NPI | - | NPPES |
| Provider Name | Joshua K Richter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144840737 PECOS PAC ID: 4880125020 Enrollment ID: I20240930001311 |
| Provider Name | Maria E Juanpere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598730475 PECOS PAC ID: 8527599141 Enrollment ID: I20241007000497 |
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