Kelly L Cooper, PT | |
4660 Kenmore Ave, Suite 420, Alexandria, VA 22304-1313 | |
(703) 751-1008 | |
(703) 751-1118 |
Full Name | Kelly L Cooper |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4660 Kenmore Ave, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023377538 | NPI | - | NPPES |
2307000967 | Other | VA | DIRECT ACCESS CERTIFICATION |
K949 - 0031 | Other | VA | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305207085 (Virginia) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
Mailing Address | Practice Location Address |
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Kelly L Cooper, PT 5252 Lyngate Ct, Ste 203, Burke, VA 22015-1672 Ph: (703) 239-2300 | Kelly L Cooper, PT 4660 Kenmore Ave, Suite 420, Alexandria, VA 22304-1313 Ph: (703) 751-1008 |
Danielle Leshinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4613 Duke St Ste B, Alexandria, VA 22304 Phone: 703-751-1052 Fax: 703-751-1053 | |
Natalie Lauren De Selding, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Reinekers Ln Ste Gr4, Alexandria, VA 22314 Phone: 703-299-3111 | |
Rabab Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6856 Richmond Hwy, Alexandria, VA 22306 Phone: 571-348-1201 | |
Karen Godley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6910 Richmond Hwy Ste 200, Alexandria, VA 22306 Phone: 703-765-7700 | |
Ms. Carolyn Haugh Byron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 Radford Ave Ste 100, Alexandria, VA 22309 Phone: 571-481-4547 Fax: 571-551-6419 | |
Breanna Nicole Mcdavid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 Duke St, Gr04, Alexandria, VA 22314 Phone: 703-299-3111 | |
Chelsea Kemlage, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln, Suite 204, Alexandria, VA 22310 Phone: 703-810-5214 Fax: 703-810-5494 |