Kyle Pulford, | |
4613 Duke St Ste B, Alexandria, VA 22304-2559 | |
(703) 751-1052 | |
(703) 751-1053 |
Full Name | Kyle Pulford |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4613 Duke St Ste B, 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 |
---|---|---|---|
1508341587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305214202 (Virginia) | Secondary |
225100000X | Physical Therapist | 23926 (Massachusetts) | Primary |
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: O20160418000007 |
Provider Name | Ivyrehab Sept, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240212002520 |
Mailing Address | Practice Location Address |
---|---|
Kyle Pulford, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Kyle Pulford, 4613 Duke St Ste B, Alexandria, VA 22304-2559 Ph: (703) 751-1052 |
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 |