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
7012956642The PECOS associate control ID: one enrolled organization, which may hold several NPIs
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 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).

Sources for this page