| Ace Physical Therapy & Sports Medicine Institute, Llc | |
|
108 Elden St., Suite 12, Herndon, VA 20170-4876 | |
| (703) 205-1233 | |
| (703) 641-0189 |
| Full Name | Ace Physical Therapy & Sports Medicine Institute, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 108 Elden St., Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821033564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305004004 (Virginia) | Primary |
| Provider Name | Michael A Ercole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477510071 PECOS PAC ID: 8123085503 Enrollment ID: I20041216001074 |
| Provider Name | Ramzi Hutchison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760419360 PECOS PAC ID: 6305927997 Enrollment ID: I20080122000301 |
| Provider Name | Manisha Mendonca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306097704 PECOS PAC ID: 2062577869 Enrollment ID: I20090211000268 |
| Provider Name | Tonya M Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821167768 PECOS PAC ID: 7113001199 Enrollment ID: I20090306000285 |
| Provider Name | Pramod Giri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851625610 PECOS PAC ID: 3375683451 Enrollment ID: I20110121000656 |
| Provider Name | Rishabh Sharma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497135545 PECOS PAC ID: 3375857733 Enrollment ID: I20150730011099 |
| Provider Name | Tracy A Vaught |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174528731 PECOS PAC ID: 6103140751 Enrollment ID: I20160616000513 |
| Provider Name | Laxmi Gurung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558718593 PECOS PAC ID: 3476848052 Enrollment ID: I20160822000984 |
| Provider Name | Shipra Bhatia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831615848 PECOS PAC ID: 7810263472 Enrollment ID: I20171026000059 |
| Provider Name | Rima Saad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679090336 PECOS PAC ID: 9537425251 Enrollment ID: I20171114001712 |
| Provider Name | Jeegan Pandya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972092351 PECOS PAC ID: 2769747567 Enrollment ID: I20180529000406 |
| Provider Name | Akanksha Sood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609332964 PECOS PAC ID: 8820338627 Enrollment ID: I20190313002603 |
| Provider Name | Erin C Mcconnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316512791 PECOS PAC ID: 4284034786 Enrollment ID: I20210621000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Physical Therapy & Sports Medicine Institute, Llc 2841 Hartland Rd, Suite 401b, Falls Church, VA 22043 Ph: (703) 205-1233 | Ace Physical Therapy & Sports Medicine Institute, Llc 108 Elden St., Suite 12, Herndon, VA 20170-4876 Ph: (703) 205-1233 |
Krysia Marie Angle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Elden St Ste 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889 | |
Mrs. Susan Kim Spar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Elden St, Suite 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889 | |
Mrs. Nicole Leonie Fainsan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Elden St, Suite 270, Herndon, VA 20170 Phone: 571-340-1922 | |
Gayathri Jagadeesan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2120 Wordsworth Ct Apt 202, Herndon, VA 20170 Phone: 571-266-6677 | |
Progressive Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 Elden St, Herndon, VA 20170 Phone: 443-917-2951 | |
Erica L Marchessault, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Elden St, Suite 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889 | |
Eleanor Ames, PT, DPT, MTC, CLT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13203 Overcup Oak Ct Apt 302, Herndon, VA 20171 Phone: 860-942-9978 Fax: 571-388-3161 |