Jaclyn A Polk (NPI# 1679848667, PAC ID# 3072774439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1679848667 |
| PAC ID by PECOS | 3072774439 |
| Professional Enrollment ID | I20171215001991 |
| Full Name | Jaclyn A Polk |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Address |
6444 Trading Sq Suite 50 Haymarket VA 20169-2277 |
| Phone Number | 5719323480 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335137363 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6444 Trading Sq, Suite 50, Haymarket, VA 20169-2277 | 5719323480 | 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 |
6444 TRADING SQ SUITE 50 |
| City | HAYMARKET |
| State | VA |
| Zip | 20169-2277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Leigh Harrison | Physical Therapy | Professional Sportscare and Rehab LLC | 6444 Trading Sq, Suite 50, Haymarket, VA 20169-2277 |
| Kimberly Marmol | Physical Therapy | Professional Sportscare and Rehab LLC | 6444 Trading Sq, Suite 50, Haymarket, VA 20169-2277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jobin Valiyakallumkal James | Physical Therapy | Old Dominion Orthopaedic and Sports Medicine PC | 15195 Healthcote Blvd, Suite 334, Haymarket, VA 20169 |
| Daniel Goerl | Optometry | 6530 Trading Sq, Haymarket, VA 20169-2278 | |
| David Randolph Gore | Optometry | 6727 Lea Berry Way, Haymarket, VA 20169-2991 | |
| Craig S Dacales | Optometry | 6601 Jefferson St, Haymarket, VA 20169-4901 | |
| Douglas L Obetz | Chiropractic | 15100 Washington St, Suite 104, Haymarket, VA 20169-4919 | |
| Deborah S Thomson | Nurse Practitioner | Capital Womens Care LLC | 15111 Washington St, Suite 121, Haymarket, VA 20169-4929 |
| John Gonzalez | Obstetrics/gynecology | Capital Womens Care LLC | 15111 Washington St, Suite 121, Haymarket, VA 20169-4929 |
| Kevin I Perman | Ophthalmology | Ophthalmic Plastic and Orbital Consultants PC | 15195 Heathcote Blvd, Suite 310, Haymarket, VA 20169-6242 |
| Soujanya Biragoni | Family Medicine | Nmg Affiliate Practice I, LLC | 15195 Heathcote Blvd, Suite 140, Haymarket, VA 20169-6243 |
| James B Min | Family Medicine | Nmg Affiliate Practice I, LLC | 15195 Heathcote Blvd, Suite 140, Haymarket, VA 20169-6243 |
| Find all physicians in zip 20169 | |||
| City | HAYMARKET |
| Zip Code | 20169 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HAYMARKET + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jaclyn A Polk.
| 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.