Leesburg Sports, Inc.
A Medicare group practice based in Lovettsville, VA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7012956642), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7012956642
- Provider type
- Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice
- Enrolled in
- VA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20051107000771 | VA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1023033354 |
| O20231028000030 | VA | Part B Supplier - Clinic/Group Practice | 1952006272 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Leesburg Sports, Inc.
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Purcellville, VA
- NPI 1023033354
-
Leesburg Sports, Inc.
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lovettsville, VA
- NPI 1952006272
-
Leesburg Sports, Inc.
dba Physiotherapy Associates
- Rehabilitation Clinic/Center
- Lansdowne, VA
- NPI 1174548473
-
Leesburg Sports, Inc.
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Leesburg, VA
- NPI 1245255512
Practice locations
- Lovettsville, VA2
- Purcellville, VA1
- Leesburg, VA1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Thomas Burton, DPT
- Physical Therapist
- Herndon, VA
- NPI 1144755711
-
Robert Jeffrey Droter, PT, DPT, OCS
- Physical Therapist
- Ashburn, VA
- NPI 1396814273
-
Lucy Etro, PT, DPT
- Physical Therapist
- Purcellville, VA
- NPI 1477228781
-
Roberto Incer, P.T.
- Physical Therapist
- Leesburg, VA
- NPI 1174605471
-
Jenna Noelle Michener, DPT
- Physical Therapist
- Purcellville, VA
- NPI 1720564461
-
Graycen Lee Scott, DPT
- Physical Therapist
- Lovettsville, VA
- NPI 1891525473
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.