Mark Harrison Shepherd, DPT | |
5130 Wilson Blvd # B1, Arlington, VA 22205-1169 | |
(703) 527-9557 | |
(703) 526-0438 |
Full Name | Mark Harrison Shepherd |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 5130 Wilson Blvd # B1, Arlington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619289196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2305206532 (Virginia) | Primary |
Provider Name | Gold Medal Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154395226 PECOS PAC ID: 6800797911 Enrollment ID: O20040120000622 |
Mailing Address | Practice Location Address |
---|---|
Mark Harrison Shepherd, DPT 5130 Wilson Blvd # B1, Arlington, VA 22205-1169 Ph: (703) 527-9557 | Mark Harrison Shepherd, DPT 5130 Wilson Blvd # B1, Arlington, VA 22205-1169 Ph: (703) 527-9557 |
Bal Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4514 36th St S Apt B1, Arlington, VA 22206 Phone: 703-967-9981 | |
Maxwell Blake, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Wilson Blvd Ste 102, Arlington, VA 22209 Phone: 703-935-1996 Fax: 703-935-1995 | |
Anjali R Ghodake, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2441 N Harrison St Ste 2443, Arlington, VA 22207 Phone: 571-533-3686 Fax: 571-534-4800 | |
George Gradwell Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste Gr2, Arlington, VA 22203 Phone: 703-527-1700 | |
Jessica Lavine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2301 Columbia Pike Apt 125, Arlington, VA 22204 Phone: 571-701-2191 | |
Mrs. Julie Marie Carpenter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5165 11th St S, Arlington, VA 22204 Phone: 703-933-0297 | |
Allyson M Kuhn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 N Glebe Rd, Arlington, VA 22201 Phone: 571-414-6930 |