Elisabeth Kim (NPI# 1245789890, PAC ID# 0840588182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1245789890 |
| PAC ID by PECOS | 0840588182 |
| Professional Enrollment ID | I20180116002865 |
| Full Name | Elisabeth Kim |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Address |
11662 Sudley Manor Dr 50b Manassas VA 20109-2842 |
| Phone Number | 5713215720 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335137363 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 | 5713215720 | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashleigh Demel | Physical Therapy | Professional Sportscare and Rehab LLC | 3508 Connecticut Ave Nw, Washington, DC 20008-2401 |
| Maxwell Blake | Physical Therapy | Professional Sportscare and Rehab LLC | 1600 Wilson Blvd, Suite 102, Arlington, VA 22209-2505 |
| Brennon Monroe | Physical Therapy | Professional Sportscare and Rehab LLC | 1150 18th St Nw, Suite Ll4, Washington, DC 20036-3839 |
| Julie Trinchere | Physical Therapy | Professional Sportscare and Rehab LLC | 10940 Fairfax Blvd, Fairfax, VA 22030-4301 |
| Nishit Panjwani | Physical Therapy | Professional Sportscare and Rehab LLC | 502 W Broad St, Suite 103, Falls Church, VA 22046-3204 |
| Kevin William Faust | Physical Therapy | Professional Sportscare and Rehab LLC | 21453 Epicerie Plz, Suite 100, Sterling, VA 20164-6648 |
| Jeffrey S Botta | Physical Therapy | Professional Sportscare and Rehab LLC | 7223 Commerce St, Suite 40, Springfield, VA 22150-3411 |
| Amber Leigh Harrison | Physical Therapy | Professional Sportscare and Rehab LLC | 6444 Trading Sq, Suite 50, Haymarket, VA 20169-2277 |
| Katie E Thompson | Physical Therapy | Professional Sportscare and Rehab LLC | 210 Fort Evans Rd Ne, Suite B, Leesburg, VA 20176-4497 |
| Danielle Leshinsky | Physical Therapy | Professional Sportscare and Rehab LLC | 1010 Wayne Ave, Suite 110, Silver Spring, MD 20910-5627 |
| Street Address |
11662 SUDLEY MANOR DR 50B |
| City | MANASSAS |
| State | VA |
| Zip | 20109-2842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyusyena Teper | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, Manassas, VA 20109-2842 |
| Lucie Horn | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Jennifer Igbokwe | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nanette Mary Blinkovitch Hoback | Clinical Social Worker | 7502 Diplomat Dr, Suite 101, Manassas, VA 20109-2508 | |
| James G Binning | Chiropractic | 7513 Presidential Ln, Manassas, VA 20109-2628 | |
| Appaji Gondi | Allergy/immunology | Yuill Black Md and Michael R Kletz Md PC | 7818 Donegan Dr, Manassas, VA 20109-2869 |
| Michael R Kletz | Allergy/immunology | Yuill Black Md and Michael R Kletz Md PC | 7818 Donegan Dr, Manassas, VA 20109-2869 |
| Evelyn M Hatfield | Clinical Social Worker | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Laurence Shindelman | Psychiatry | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Donovan D Clark | Psychiatry | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Neena G Singh | Psychiatry | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Stacey Burton | Clinical Social Worker | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Allison Marquardt | Clinical Social Worker | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Find all physicians in zip 20109 | |||
| City | MANASSAS |
| Zip Code | 20109 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MANASSAS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.