Kelly Takatsuki (NPI# 1508290727, PAC ID# 2062656606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1508290727 |
| PAC ID by PECOS | 2062656606 |
| Professional Enrollment ID | I20130920000153 |
| Full Name | Kelly Takatsuki |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Address |
3801 Fairfax Dr Suite 11 Arlington VA 22203-1762 |
| Phone Number | 7035221060 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335137363 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3801 Fairfax Dr, Suite 11, Arlington, VA 22203-1762 | 7035221060 | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| 6325 Multiplex Dr, Unit 2, Centreville, VA 20121-5327 | 5719323470 | 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 |
| 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 |
| Street Address |
3801 FAIRFAX DR SUITE 11 |
| City | ARLINGTON |
| State | VA |
| Zip | 22203-1762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tate W Klidonas | Physical Therapy | Professional Sportscare and Rehab LLC | 3801 Fairfax Dr, Suite 11, Arlington, VA 22203-1762 |
| Maureen E Schimizzi | Physical Therapy | Professional Sportscare and Rehab LLC | 3801 Fairfax Dr, Suite 11, Arlington, VA 22203-1762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael Canadas | Family Medicine | 3800 Fairfax Dr, Suite 3, Arlington, VA 22203-1703 | |
| Elizabeth Ann Lobaugh | Optometry | Larry N London Od PC | 3800 N Fairfax Dr, Suite 1, Arlington, VA 22203-1711 |
| Eric Marcus Kraff | Optometry | Larry N London Od PC | 3800 N Fairfax Dr, Suite 1, Arlington, VA 22203-1711 |
| Larry Nelson London | Optometry | Larry N London Od PC | 3800 N Fairfax Dr, Suite 1, Arlington, VA 22203-1711 |
| Kathryn E Whitescarver | Optometry | Larry N London Od PC | 3800 N Fairfax Dr, Suite 1, Arlington, VA 22203-1711 |
| Amy V Kotecha | Ophthalmology | 3801 N Fairfax Dr, Suite 74, Arlington, VA 22203-1762 | |
| Sam Masri | Chiropractic | Chiro Physical Medicine, LLC | 3801 N Fairfax Dr, Suite 12, Arlington, VA 22203-1762 |
| Gary Yagoda | Physical Therapy | Chiro Physical Medicine, LLC | 3801 N Fairfax Dr, Suite 12, Arlington, VA 22203-1762 |
| Vu H Nguyen | Chiropractic | Chiro Physical Medicine, LLC | 3801 N Fairfax Dr, Suite 12, Arlington, VA 22203-1762 |
| Nicolae Filipescu | Obstetrics/gynecology | Elite Ob/gyn | 3801 N Fairfax Dr, Suite 31, Arlington, VA 22203-1762 |
| Find all physicians in zip 22203 | |||
| City | ARLINGTON |
| Zip Code | 22203 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ARLINGTON + 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.