Mr Earl Laurence Grine Jr, PT, MSPT, ATC, CSCS | |
11800 Sunrise Valley Dr, 100, Reston, VA 20191 | |
(703) 709-1116 | |
(703) 709-5134 |
Full Name | Mr Earl Laurence Grine Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 11800 Sunrise Valley Dr, Reston, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346323474 | NPI | - | NPPES |
604546000 | Other | DC | DEPARTMENT OF LABOR |
172810 | Other | VA | BLUE CROSS / BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305202763 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virginia Therapy And Fitness Center | 3072680628 | 13 |
Provider Name | Virginia Therapy & Fitness Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093887390 PECOS PAC ID: 3072680628 Enrollment ID: O20080923000539 |
Mailing Address | Practice Location Address |
---|---|
Mr Earl Laurence Grine Jr, PT, MSPT, ATC, CSCS 1634 Autumnwood Dr, Reston, VA 20194-1522 Ph: (703) 437-8011 | Mr Earl Laurence Grine Jr, PT, MSPT, ATC, CSCS 11800 Sunrise Valley Dr, 100, Reston, VA 20191 Ph: (703) 709-1116 |
Mrs. Nancy Paula Krall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Cameron Glen Dr, Reston, VA 20190 Phone: 703-834-5950 | |
Gabrielle Pham-che, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Reston, VA 20190 Phone: 703-483-4684 | |
Gemma Leonard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-709-1118 | |
Mr. Hugh William Mcgee Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, 403, Reston, VA 20190 Phone: 703-736-2806 Fax: 703-736-1677 | |
Carly Fuller, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1760 Reston Pkwy Ste 403, Reston, VA 20190 Phone: 703-230-1760 Fax: 702-230-1761 | |
Natalie Colleen Burnett Drummond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Suite 300, Reston, VA 20190 Phone: 703-483-4650 Fax: 703-787-6575 | |
Peak Performance Physical Therapy, Plc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Sunset Hills Rd, Suite A3, Reston, VA 20190 Phone: 703-473-1515 Fax: 703-473-8333 |