Shruti Kishorbhai Kotak, PT | |
8609 Sudley Rd Ste 102, Manassas, VA 20110-4500 | |
(703) 366-3626 | |
Not Available |
Full Name | Shruti Kishorbhai Kotak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8609 Sudley Rd Ste 102, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447517966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305210053 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
Mailing Address | Practice Location Address |
---|---|
Shruti Kishorbhai Kotak, PT 5252 Lyngate Ct Ste 203, Burke, VA 22015-1673 Ph: (703) 239-2300 | Shruti Kishorbhai Kotak, PT 8609 Sudley Rd Ste 102, Manassas, VA 20110-4500 Ph: (703) 366-3626 |
Ronnie Wood, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 Sudley Rd, Manassas, VA 20109 Phone: 703-366-3948 | |
Teri Leigh Tressler, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8575 Rixlew Ln, Manassas, VA 20109 Phone: 703-257-9770 | |
Taylor Marie Laurita, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9685 Liberia Ave Ste 106, Manassas, VA 20110 Phone: 571-535-2342 | |
Dr. Joseph Park, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8551 Rixlew Ln Ste 340, Manassas, VA 20109 Phone: 703-368-7343 | |
Sungkwan Cho, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8525 Rolling Rd, Suite 300, Manassas, VA 20110 Phone: 703-393-1667 | |
Dr. Charlette Michelle Woelkers, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9161 Liberia Ave Ste 205, Manassas, VA 20110 Phone: 571-229-1111 | |
Pt Solutions Of Va Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9685 Liberia Ave Ste 106, Manassas, VA 20110 Phone: 571-535-2342 Fax: 571-535-2343 |