Bryan W Hutton (NPI# 1467925784, PAC ID# 5799019121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1467925784 |
| PAC ID by PECOS | 5799019121 |
| Professional Enrollment ID | I20190619000265 |
| Full Name | Bryan W Hutton |
| Organization Legal Name | HAYMARKET PHYSICAL THERAPY LLC |
| Address |
10402 Bristow Ctr Dr Bristow VA 20136-2202 |
| Phone Number | 7037530261 |
| Gender | M |
| Medical School | MARYMOUNT UNIVERSITY |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486961687 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10402 Bristow Ctr Dr, Bristow, VA 20136-2202 | 7037530261 | HAYMARKET PHYSICAL THERAPY LLC |
| 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 | 7037530261 | HAYMARKET PHYSICAL THERAPY LLC |
| Organization Legal Name | HAYMARKET PHYSICAL THERAPY LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Lemcke | Physical Therapy | Haymarket Physical Therapy LLC | 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 |
| Robert L Woelkers | Physical Therapy | Haymarket Physical Therapy LLC | 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 |
| Nicole C Waters | Physical Therapy | Haymarket Physical Therapy LLC | 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 |
| John Thomas Salley Iii | Physical Therapy | Haymarket Physical Therapy LLC | 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 |
| Andrew C Pak | Physical Therapy | Haymarket Physical Therapy LLC | 10402 Bristow Ctr Dr, Bristow, VA 20136-2202 |
| Rana Baz | Physical Therapy | Haymarket Physical Therapy LLC | 14535 John Marshall Hwy, Suite 203, Gainesville, VA 20155-4025 |
| Street Address |
10402 BRISTOW CTR DR |
| City | BRISTOW |
| State | VA |
| Zip | 20136-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew C Pak | Physical Therapy | Haymarket Physical Therapy LLC | 10402 Bristow Ctr Dr, Bristow, VA 20136-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana H Rybinsky | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10250 Bristow Ctr Dr, Bristow, VA 20136-2200 |
| Paul Thien Colbourne | Optometry | 10338 Bristow Ctr Dr, Bristow, VA 20136-2201 | |
| Victoria C Hammonds | Family Medicine | Nmg Affiliate Practice I, LLC | 10322 Bristow Ctr Dr, Bristow, VA 20136-2201 |
| Blessy Sebastian | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 10322 Bristow Ctr Dr, Bristow, VA 20136-2201 |
| Vivian Nangoyi Nakawala | Nurse Practitioner | Nmg Affiliate Practice I, LLC | 10322 Bristow Ctr Dr, Bristow, VA 20136-2201 |
| Belinda B Berame | Family Medicine | Nmg Affiliate Practice I, LLC | 10322 Bristow Ctr Dr, Bristow, VA 20136-2201 |
| City | BRISTOW |
| Zip Code | 20136 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BRISTOW + 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.