| Wilson Park, DPT | |
|
2800 S Shirlington Rd Ste 1100, Arlington, VA 22206-3605 | |
| (703) 892-6500 | |
| (703) 521-3415 |
| Full Name | Wilson Park |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2800 S Shirlington Rd Ste 1100, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750959995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP015186T (Maryland) | Secondary |
| 225100000X | Physical Therapist | 2305215239 (Virginia) | Primary |
| Provider Name | Anderson Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568488799 PECOS PAC ID: 2264331263 Enrollment ID: O20040108000482 |
| Provider Name | Professional Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Park, DPT 2800 S Shirlington Rd Ste 1100, Arlington, VA 22206-3605 Ph: (703) 892-6500 | Wilson Park, DPT 2800 S Shirlington Rd Ste 1100, Arlington, VA 22206-3605 Ph: (703) 892-6500 |
Bal Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4514 36th St S Apt B1, Arlington, VA 22206 Phone: 703-967-9981 | |
Maxwell Blake, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Wilson Blvd Ste 102, Arlington, VA 22209 Phone: 703-935-1996 Fax: 703-935-1995 | |
Anjali R Ghodake, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2441 N Harrison St Ste 2443, Arlington, VA 22207 Phone: 571-533-3686 Fax: 571-534-4800 | |
George Gradwell Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste Gr2, Arlington, VA 22203 Phone: 703-527-1700 | |
Jessica Lavine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2301 Columbia Pike Apt 125, Arlington, VA 22204 Phone: 571-701-2191 | |
Mrs. Julie Marie Carpenter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5165 11th St S, Arlington, VA 22204 Phone: 703-933-0297 | |
Allyson M Kuhn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 N Glebe Rd, Arlington, VA 22201 Phone: 571-414-6930 |