Julie Lease, | |
10940 Fairfax Blvd Ste D1, Fairfax, VA 22030-4301 | |
(571) 321-5430 | |
Not Available |
Full Name | Julie Lease |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 10940 Fairfax Blvd Ste D1, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093230617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211255 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Sportscare And Rehab Llc | 9335137363 | 95 |
Professional Sportscare And Rehab Llc | 9335137363 | 95 |
Provider Name | Professional Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20161101000040 |
Mailing Address | Practice Location Address |
---|---|
Julie Lease, Po Box 69020, Baltimore, MD 21264-9020 Ph: () - | Julie Lease, 10940 Fairfax Blvd Ste D1, Fairfax, VA 22030-4301 Ph: (571) 321-5430 |
Joseph Charles Berry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4227 Summit Manor Ct Apt 103, Fairfax, VA 22033 Phone: 941-447-7992 | |
Thomas Finnegan Ronayne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8501 Arlington Blvd Ste 200, Fairfax, VA 22031 Phone: 703-970-6490 | |
Kathleen Beight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3642 Fax: 703-391-3455 | |
Beena Nair, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3580 Joseph Siewick Dr Ste 202, Fairfax, VA 22033 Phone: 703-391-2450 Fax: 703-391-3142 | |
Mrs. Carolyn Marie Libert, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8301 Arlington Blvd, Suite 102, Fairfax, VA 22031 Phone: 703-207-8315 Fax: 703-573-2143 | |
Katherine Booker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 Phone: 703-716-4794 Fax: 703-716-4806 | |
Mrs. Laurie Elizabeth Cunningham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3750 Old Lee Hwy, Fairfax, VA 22030 Phone: 703-246-7184 Fax: 703-246-7307 |