Kandice Minor, PT | |
5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 | |
(703) 750-1204 | |
(703) 750-1206 |
Full Name | Kandice Minor |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5501 Backlick Rd, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518166305 | NPI | - | NPPES |
K949 - 0018 | Other | VA | CAREFIRST |
2307000356 | Other | VA | DIRECT ACCESS CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2035204772 (Virginia) | Primary |
Provider Name | Advanced Work Rehab Center, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548676307 PECOS PAC ID: 3870969397 Enrollment ID: O20221024002654 |
Mailing Address | Practice Location Address |
---|---|
Kandice Minor, PT 5252 Lyngate Ct, Ste 203, Burke, VA 22015-1672 Ph: (703) 239-2300 | Kandice Minor, PT 5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 Ph: (703) 750-1204 |
Greenspring Village, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7400 Spring Village Dr, Springfield, VA 22150 Phone: 703-923-4600 | |
Chad Van Ramshorst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, Springfield, VA 22150 Phone: 714-803-1784 | |
Marc A Mendoza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Industrial Rd Ste 3100, Springfield, VA 22151 Phone: 703-256-2171 | |
Samantha Staley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 200, Springfield, VA 22152 Phone: 484-787-2200 | |
Patricia K Towsley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6551 Loisdale Ct, Suite 155, Springfield, VA 22150 Phone: 703-822-0039 Fax: 703-822-0211 | |
Kristen Mosher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6551 Loisdale Ct, Suite 155, Springfield, VA 22150 Phone: 703-822-0039 Fax: 703-822-0211 | |
Susan Perkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln, Suite 200, Springfield, VA 22152 Phone: 703-569-7500 Fax: 703-866-0158 |