Access Physical Therapy, LLC
Organization Active NPI Physical Therapist · Fairfax, VA
NPI 1659523488 · NPPES record last updated Oct 10, 2008
Key facts
- NPI
- 1659523488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305004573 (VA)
- Legal business name
- ACCESS PHYSICAL THERAPY, LLC
- Practice address
- 10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518 - Phone
- (703) 865-5538
- Fax
- (703) 865-5530
- NPI assigned
- Oct 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Farouk Elkassed, PT
- Title
- Owner
- Phone
- (703) 865-5538
Practitioners 1
-
Farouk Elkassed, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090605000022 | DC | Part B Supplier - Clinic/Group Practice | 4183774573 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairfax, VA |
National Provider Directory
Locations
10340 Democracy Ln
Ste 106
Fairfax, VA 22030
Phone (703) 865-5538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2305004573 | VA | Yes |
Addresses
Primary practice location
10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518
Mailing address
10340 Democracy LN
Suite 106
Fairfax, VA 22030-2518
Phone (703) 865-5538
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All providers in Fairfax, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.