| Kieifi A Myrick, OT | |
|
102 Elden St Ste 12, Herndon, VA 20170-4839 | |
| (703) 587-8999 | |
| Not Available |
| Full Name | Kieifi A Myrick |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 102 Elden St Ste 12, 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 |
|---|---|---|---|
| 1669033197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119008122 (Virginia) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20180906000725 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487239349 PECOS PAC ID: 4385929892 Enrollment ID: O20210427000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Kieifi A Myrick, OT 5252 Lyngate Ct Ste 203, Burke, VA 22015-1673 Ph: (703) 239-2300 | Kieifi A Myrick, OT 102 Elden St Ste 12, Herndon, VA 20170-4839 Ph: (703) 587-8999 |
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 | |
Bradley Jay Deck, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2978 Centreville Rd, Herndon, VA 20171 Phone: 703-934-5000 | |
Madeline Florence Bryant, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 Dranesville Rd, Herndon, VA 20170 Phone: 703-952-7292 |