Maxwell Blake, | |
1600 Wilson Blvd Ste 102, Arlington, VA 22209-2505 | |
(703) 935-1996 | |
(703) 935-1995 |
Full Name | Maxwell Blake |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1600 Wilson Blvd Ste 102, Arlington, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023597382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305212147 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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: O20160418000007 |
Mailing Address | Practice Location Address |
---|---|
Maxwell Blake, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Maxwell Blake, 1600 Wilson Blvd Ste 102, Arlington, VA 22209-2505 Ph: (703) 935-1996 |
Bal Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4514 36th St S Apt B1, Arlington, VA 22206 Phone: 703-967-9981 | |
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 |