| Nova Neuro Rehab Pllc | |
|
400 Madison St Apt 1406, Alexandria, VA 22314-1724 | |
| (901) 288-8063 | |
| Not Available |
| Full Name | Nova Neuro Rehab Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 Madison St Apt 1406, Alexandria, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518707322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Cameron Waggoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639645245 PECOS PAC ID: 3678011293 Enrollment ID: I20240814002935 |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Neuro Rehab Pllc Po Box 25451, Alexandria, VA 22313-5451 Ph: (901) 288-8063 | Nova Neuro Rehab Pllc 400 Madison St Apt 1406, Alexandria, VA 22314-1724 Ph: (901) 288-8063 |
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 |