Stephen Boettke, PT, DPT | |
2960 Chain Bridge Rd Ste 201, Oakton, VA 22124-3040 | |
(703) 242-6460 | |
(703) 242-6463 |
Full Name | Stephen Boettke |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2960 Chain Bridge Rd Ste 201, Oakton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942937065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305215238 (Virginia) | Primary |
Provider Name | Jackson Clinics Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554 |
Mailing Address | Practice Location Address |
---|---|
Stephen Boettke, PT, DPT Po Box 1769, Middleburg, VA 20118-1769 Ph: (703) 242-6460 | Stephen Boettke, PT, DPT 2960 Chain Bridge Rd Ste 201, Oakton, VA 22124-3040 Ph: (703) 242-6460 |
Emily Lucas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2960 Chain Bridge Rd, Ste 201, Oakton, VA 22124 Phone: 703-242-3460 | |
Sungnyu Shin Lee, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3102 Mereworth Ct, Oakton, VA 22124 Phone: 703-626-1465 Fax: 703-319-7972 | |
Heather Nichole Ross, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 Chain Bridge Rd Ste 201, Oakton, VA 22124 Phone: 703-242-6460 Fax: 703-242-6463 | |
Katherine Ann Henderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 Chain Bridge Rd, Suite 201, Oakton, VA 22124 Phone: 703-242-6460 Fax: 703-242-6463 | |
Kristin Dunn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10461 White Granite Dr Ste 106, Oakton, VA 22124 Phone: 703-559-6823 Fax: 888-546-3565 | |
Michael C Wilkins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2960 Chain Bridge Rd Ste 201, Oakton, VA 22124 Phone: 703-242-6460 Fax: 703-242-6463 | |
Elisabeth Marie Stephens, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 Chain Bridge Rd Ste 201, Oakton, VA 22124 Phone: 703-242-6460 Fax: 703-242-6463 |