| Professional Physical Therapy Llc | |
|
3767 Fettler Park Dr, Dumfries, VA 22025-1946 | |
| (703) 730-6400 | |
| Not Available |
| Full Name | Professional Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3767 Fettler Park Dr, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114321619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Virginia) | Primary |
| Provider Name | Douglas K Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376616268 PECOS PAC ID: 9234388570 Enrollment ID: I20150123000633 |
| Provider Name | Hadi Fathalikhani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962407411 PECOS PAC ID: 8527130202 Enrollment ID: I20190108000095 |
| Provider Name | Brittney Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730677840 PECOS PAC ID: 1254678485 Enrollment ID: I20190128000037 |
| Provider Name | Carla Renee Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053547893 PECOS PAC ID: 5496017873 Enrollment ID: I20190821002085 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physical Therapy Llc 3767 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 730-6400 | Professional Physical Therapy Llc 3767 Fettler Park Dr, Dumfries, VA 22025-1946 Ph: (703) 730-6400 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17453 Jefferson Davis Hwy, Dumfries, VA 22026 Phone: 703-221-3913 Fax: 703-221-3203 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |