Roberto Incer, PT | |
44055 Riverside Pkwy, 118, Leesburg, VA 20176-5179 | |
(703) 858-3100 | |
(703) 858-3101 |
Full Name | Roberto Incer |
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Gender | Male |
Speciality | Physical Therapist |
Location | 44055 Riverside Pkwy, Leesburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174605471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305202699 (Virginia) | Primary |
Provider Name | Leesburg Sports, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952006272 PECOS PAC ID: 7012956642 Enrollment ID: O20231028000030 |
Mailing Address | Practice Location Address |
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Roberto Incer, PT 45821 Marlane Ter, Sterling, VA 20166-2414 Ph: () - | Roberto Incer, PT 44055 Riverside Pkwy, 118, Leesburg, VA 20176-5179 Ph: (703) 858-3100 |
Mrs. Shirali Amin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E Market St, Leesburg, VA 20176 Phone: 703-443-6700 Fax: 703-443-6702 | |
Mrs. Deborah F. Danaceau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E Market St, Suite B, Leesburg, VA 20176 Phone: 703-443-6700 Fax: 703-443-6702 | |
Dr. Emily M Denton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 525 E Market St Ste B, Leesburg, VA 20176 Phone: 703-443-6700 Fax: 703-443-6702 | |
Dr. Genevieve E. Griffin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 525 E Market St Ste B, Leesburg, VA 20176 Phone: 703-443-6700 | |
Nichole Muzina, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19441 Golf Vista Plz, Suite 230, Leesburg, VA 20176 Phone: 703-724-7474 | |
Isaac A Houtkooper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 30 Catoctin Cir Se, Leesburg, VA 20175 Phone: 571-918-0197 | |
Lori Brown Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19465 Deerfield Avenue Ste 405, Leesburg, VA 20176 Phone: 703-858-1800 Fax: 703-858-1801 |