| |
4201 Connecticut Ave Nw Ste 406 Washington DC 20008-1166 | |
(717) 972-1100 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4201 Connecticut Ave Nw Ste 406, Washington, District Of Columbia |
Authorized Official Name and Position | Michael E Tarvin (VICE PRESIDENT) |
Authorized Official Contact | 7179721100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4714 Gettysburg Rd Mechanicsburg PA 17055-4325 Ph: () - | 4201 Connecticut Ave Nw Ste 406 Washington DC 20008-1166 Ph: (717) 972-1100 |
NPI Number | 1538631874 |
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Provider Enumeration Date | 12/27/2018 |
Last Update Date | 12/21/2021 |
Medicare PECOS PAC ID | 8628305935 |
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Medicare Enrollment ID | O20190809000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538631874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael S Stidham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265682058 PECOS PAC ID: 0840489183 Enrollment ID: I20110118000770 |
Provider Name | Alyssa A Wolf |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023251238 PECOS PAC ID: 2860675287 Enrollment ID: I20110323000146 |
Provider Name | Patricia A Celmer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649582321 PECOS PAC ID: 7517144512 Enrollment ID: I20110531000225 |
Provider Name | Brian Hershberger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992813299 PECOS PAC ID: 9537257266 Enrollment ID: I20170418000817 |
Provider Name | Erin Longhurst |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003297409 PECOS PAC ID: 6305119751 Enrollment ID: I20170906002158 |
Provider Name | Benjamin Hayes |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053783738 PECOS PAC ID: 6103180658 Enrollment ID: I20180509000345 |
Provider Name | Shay Bautista Natividad |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376801373 PECOS PAC ID: 2466862883 Enrollment ID: I20201116000268 |
Provider Name | Salvatore J Fogarino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457022329 PECOS PAC ID: 2567853740 Enrollment ID: I20211222002177 |
Provider Name | Hadiya Green |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467621862 PECOS PAC ID: 9739149121 Enrollment ID: I20220808001566 |
Provider Name | Raymar J Mcclain |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720740533 PECOS PAC ID: 1355718065 Enrollment ID: I20221110000015 |
Provider Name | Alyson N. Dillon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699395665 PECOS PAC ID: 2567827660 Enrollment ID: I20230425000387 |
Provider Name | Megan Gallagher |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982358610 PECOS PAC ID: 0446634307 Enrollment ID: I20230526000552 |
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H L Yoon, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 Martin Luther King Jr., Ave, S.e., Washington, DC 20020 Phone: 202-678-4940 Fax: 202-678-9703 | |
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