Bradley Jay Deck, | |
2978 Centreville Rd, Herndon, VA 20171-6253 | |
(703) 934-5000 | |
Not Available |
Full Name | Bradley Jay Deck |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 2978 Centreville Rd, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255983516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119-008157 (Virginia) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
Mailing Address | Practice Location Address |
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Bradley Jay Deck, 2386b Hickory Nut Ln, Herndon, VA 20171-2841 Ph: (540) 247-9163 | Bradley Jay Deck, 2978 Centreville Rd, Herndon, VA 20171-6253 Ph: (703) 934-5000 |
Sydney Chervenic, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 102 Elden St Ste 12, Herndon, VA 20170 Phone: 703-581-8999 | |
Mona Elsayed, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5407 | |
Kira Sellar, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2978 Centreville Rd, Herndon, VA 20171 Phone: 703-934-5000 | |
Mrs. Diane Hocker Sullivan, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Kingstream Cir, Herndon, VA 20170 Phone: 703-437-5563 | |
Jennifer Hale, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5205 Fax: 703-810-5407 | |
Madeline Florence Bryant, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 Dranesville Rd, Herndon, VA 20170 Phone: 703-952-7292 |