Justin Leeman, | |
21625 Red Rum Dr, Ashburn, VA 20147 | |
(410) 802-0212 | |
Not Available |
Full Name | Justin Leeman |
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Gender | Male |
Speciality | Physical Therapist |
Location | 21625 Red Rum Dr, Ashburn, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033608542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213178 (Virginia) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Justin Leeman, 20161 Braeton Bay Ter Apt 300, Ashburn, VA 20147-2611 Ph: (410) 802-0212 | Justin Leeman, 21625 Red Rum Dr, Ashburn, VA 20147 Ph: (410) 802-0212 |
Brett Alexandria Kulp, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43490 Yukon Dr, Suite 212, Ashburn, VA 20147 Phone: 703-729-7920 Fax: 703-729-7923 | |
Mrs. Sheryl Sammarco Moran, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147 Phone: 703-723-5225 | |
Daniel Kim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43330 Junction Plz Ste 122, Ashburn, VA 20147 Phone: 703-972-1040 | |
Scott Ellsworth Rhodes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20041 Riverside Commons Plaza, Ashburn, VA 20147 Phone: 703-277-2663 Fax: 703-810-5323 | |
Ms. Kimberly A. Horton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44927 George Washington Blvd, Suite 210, Ashburn, VA 20147 Phone: 571-291-9936 Fax: 571-918-4935 | |
Nina K Carswell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20905 Professional Plz, Suite 110, Ashburn, VA 20147 Phone: 703-726-1616 Fax: 703-726-1613 |