Jeffrey S Botta (NPI# 1124370127, PAC ID# 1658523881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1124370127 |
| PAC ID by PECOS | 1658523881 |
| Professional Enrollment ID | I20171117000567 |
| Full Name | Jeffrey S Botta |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Address |
7223 Commerce St Suite 40 Springfield VA 22150-3411 |
| Phone Number | 7039351999 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335137363 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7223 Commerce St, Suite 40, Springfield, VA 22150-3411 | 7039351999 | 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 |
| Elisabeth Kim | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Kevin William Faust | Physical Therapy | Professional Sportscare and Rehab LLC | 21453 Epicerie Plz, Suite 100, Sterling, VA 20164-6648 |
| 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 |
7223 COMMERCE ST SUITE 40 |
| City | SPRINGFIELD |
| State | VA |
| Zip | 22150-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten A Yarwood | Physical Therapy | Professional Sportscare and Rehab LLC | 7223 Commerce St, Suite 40, Springfield, VA 22150-3411 |
| Lynda Z Reha | Physical Therapy | Professional Sportscare and Rehab LLC | 7223 Commerce St, Suite 40, Springfield, VA 22150-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghal R Antani | Interventional Radiology | 6551 Loisdale Ct, Suite 165, Springfield, VA 22150-1820 | |
| Nava Ezra | Optometry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Leah M Schulte | Orthopedic Surgery | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Hollie A Kreindler | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Nikhil Oak | Orthopedic Surgery | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Esther K Bahk | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Thomas Rammelkamp | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Margaret Adamcewicz | Gastroenterology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Sonya Adam | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Daniel John Short | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6501 Loisdale Ct, Springfield, VA 22150-1826 |
| Find all physicians in zip 22150 | |||
| City | SPRINGFIELD |
| Zip Code | 22150 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SPRINGFIELD + 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.