| Coach House Physicial Therapy&sports Medicine Center, Llc | |
|
17453 Richmond Hwy, Dumfries, VA 22026-2244 | |
| (703) 221-3913 | |
| (703) 221-3203 |
| Full Name | Coach House Physicial Therapy&sports Medicine Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17453 Richmond Hwy, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801971601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305103005 (Virginia) | Primary |
| Provider Name | Edward Brock Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750377990 PECOS PAC ID: 4688692106 Enrollment ID: I20080507000468 |
| Provider Name | Yulim Hong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467838805 PECOS PAC ID: 5698084531 Enrollment ID: I20201001000893 |
| Provider Name | Katelyn Tribble Roberti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568826006 PECOS PAC ID: 2365733268 Enrollment ID: I20220929004010 |
| Provider Name | Katherine Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841637147 PECOS PAC ID: 6406096619 Enrollment ID: I20230222002296 |
| Provider Name | Abigail Rachel Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528746179 PECOS PAC ID: 6709246010 Enrollment ID: I20230718004270 |
| Provider Name | Rachel Litchfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013366863 PECOS PAC ID: 6901187012 Enrollment ID: I20230727000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Coach House Physicial Therapy&sports Medicine Center, Llc 17453 Richmond Hwy, Dumfries, VA 22026-2244 Ph: (703) 221-3913 | Coach House Physicial Therapy&sports Medicine Center, Llc 17453 Richmond Hwy, Dumfries, VA 22026-2244 Ph: (703) 221-3913 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17453 Jefferson Davis Hwy, Dumfries, VA 22026 Phone: 703-221-3913 Fax: 703-221-3203 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |