Hadi Fathalikhani, PT in Woodbridge, VA - Medicare Physical Therapist Provider

Hadi Fathalikhani, PT is a medicare enrolled "Physical Therapist" provider in Woodbridge, Virginia. His current practice location is 12546 Dillingham Sq, # 101, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 730-6969.

Hadi Fathalikhani is licensed to practice in Virginia (license number 2305003984) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962407411.

Contact Information

	Hadi Fathalikhani, PT
	12546 Dillingham Sq, # 101, Woodbridge, VA 22192-5259
	(703) 730-6969
	(703) 730-1169

Map and Direction

Healthcare Provider's Profile

Full Name	Hadi Fathalikhani
Gender	Male
Speciality	Physical Therapist
Location	12546 Dillingham Sq, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962407411
Provider Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8527130202
Enrollment ID: I20190108000095

Medical Identifiers

Medical identifiers for Hadi Fathalikhani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962407411	NPI	-	NPPES
519289	Other	VA	MAMSI PROVIDER NUMBER
S427-0001	Other	VA	CAREFIRST BCBS PROVIDER #
265661	Other	VA	ANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305003984 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hadi Fathalikhani allows following entities to bill medicare on his behalf.

Provider Name	Professional Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114321619 PECOS PAC ID: 4183948011 Enrollment ID: O20150123000554

Provider Name	Performance Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1487889135 PECOS PAC ID: 8820137656 Enrollment ID: O20190107000943

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hadi Fathalikhani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Hadi Fathalikhani, PT 14014 Sullyfield Cir, Ste B, Chantilly, VA 20151-1689 Ph: (703) 263-2020	Hadi Fathalikhani, PT 12546 Dillingham Sq, # 101, Woodbridge, VA 22192-5259 Ph: (703) 730-6969

Reviews and Comments

Physical Therapist in Woodbridge, VA

Happy Triad Physical Therapy & Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12883 Effingham Ct, Woodbridge, VA 22192 Phone: 773-766-6643
Anne Sheehy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14080 Central Loop, Woodbridge, VA 22193 Phone: 703-721-8801
Anna J Theis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13854 Smoketown Rd, Woodbridge, VA 22192 Phone: 703-670-9935
Julie M Gibson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14605 Potomac Branch Dr Ste 200, Woodbridge, VA 22191 Phone: 703-580-5160 Fax: 703-580-6880
Rachel Elizabeth Morrison, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 Phone: 703-580-5160 Fax: 703-580-6880
Blanca Cerezo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13854 Smoketown Rd, Woodbridge, VA 22192 Phone: 703-670-9935 Fax: 703-670-9939
Miguel O Lana, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13854 Smoketown Rd, Woodbridge, VA 22192 Phone: 703-670-9935

Hadi Fathalikhani, PT - Medicare Physical Therapist in Woodbridge, VA