Carlo Tirso, | |
6035 Burke Centre Pkwy Ste 300, Burke, VA 22015-3750 | |
(703) 978-3300 | |
Not Available |
Full Name | Carlo Tirso |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6035 Burke Centre Pkwy Ste 300, Burke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841805942 | NPI | - | NPPES |
2305213664 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH/ PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213664 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Mailing Address | Practice Location Address |
---|---|
Carlo Tirso, 3502 Queen Anne Dr, Fairfax, VA 22030-1831 Ph: (703) 402-0816 | Carlo Tirso, 6035 Burke Centre Pkwy Ste 300, Burke, VA 22015-3750 Ph: (703) 978-3300 |
Barbara Boyle, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6035 Burke Centre Pkwy, 300, Burke, VA 22015 Phone: 703-978-3300 Fax: 703-978-6216 | |
Sonia Borges, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6035 Burke Centre Pkwy, Burke, VA 22015 Phone: 703-978-3300 Fax: 703-978-6216 | |
Matthew Earl Flynn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9710 Walthorne Ct, Burke, VA 22015 Phone: 207-420-6553 | |
Sydney Sawyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 K Old Burke Lake Rd, Burke, VA 22015 Phone: 703-425-1800 | |
Elizabeth Charlene Voth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Old Burke Lake Rd, Burke, VA 22015 Phone: 703-425-1800 | |
Michael P Blair, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6035 Burke Centre Pkwy, #300, Burke, VA 22015 Phone: 703-978-3300 | |
Legacy Healthcare Services, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9642 Burke Lake Rd, Burke, VA 22015 Phone: 703-543-7920 Fax: 703-543-7924 |