Elena Igorevna Sutphin, PTA is a
Physical Medicine & Rehabilitation physician based in Woodbridge, Virginia. Elena Igorevna Sutphin is licensed to practice in Virginia (license number 2306605532) and her current practice location is 1936 Opitz Blvd Ste A, Woodbridge, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 841-4443.
NPI number for Elena Igorevna Sutphin is 1134727357 and her current mailing address is 35332 Quail Meadow Ln, Locust Grove, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134727357.
Physician's Profile
| Full Name | Elena Igorevna Sutphin |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1936 Opitz Blvd Ste A, Woodbridge, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134727357
- Provider Enumeration Date: 10/09/2020
- Last Update Date: 10/09/2020
Medical Identifiers
Medical identifiers for Elena Igorevna Sutphin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134727357 | NPI | - | NPPES |
| 2306605532 | Other | VA | VA DEPARTMENT OF HEALTH PROFESSIONALS/BOARD OF PHYSICAL THERAPY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 2306605532 (Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2306605532 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elena Igorevna Sutphin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elena Igorevna Sutphin, PTA
35332 Quail Meadow Ln,
Locust Grove, VA 22508-3116
Ph: (929) 272-6742 | Elena Igorevna Sutphin, PTA
1936 Opitz Blvd Ste A,
Woodbridge, VA 22191-3360
Ph: (540) 841-4443 |
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