| Spark Motion Pt Llc | |
|
6200 Utah Ave Nw, Washington, DC 20015-2432 | |
| (240) 460-8983 | |
| Not Available |
| Full Name | Spark Motion Pt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6200 Utah Ave Nw, Washington, District Of Columbia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649609017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Patrick T Kennelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073619532 PECOS PAC ID: 7214827419 Enrollment ID: I20040319000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Motion Pt Llc 6200 Utah Ave Nw, Washington, DC 20015-2432 Ph: (240) 460-8983 | Spark Motion Pt Llc 6200 Utah Ave Nw, Washington, DC 20015-2432 Ph: (240) 460-8983 |
Jeffrey Adam Miller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 G St Nw, Washington, DC 20001 Phone: 202-347-7745 Fax: 202-347-7747 | |
Leah Michelle Carreno, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Dilorenzo Tricare Health Clinic 5801 Defense Pentagon, Washington, DC 20310 Phone: 703-692-8982 | |
Tyler Allee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1705 Desales St Nw, 6th Floor, Washington, DC 20036 Phone: 202-630-0378 | |
Bettie R Kruger, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Pennsylvania Ave Se, Suite 202, Washington, DC 20003 Phone: 202-543-9400 | |
Erin Foley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Defense St Pentagon, Washington, DC 20310 Phone: 037-692-8982 | |
Triumph Pediatric Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Massachusetts Ave Nw # 340, Washington, DC 20016 Phone: 240-336-4976 | |
Vuong Duc Tran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 K St Nw Ste 215, Washington, DC 20006 Phone: 240-898-4446 |