Michael Glenn Kecman (NPI# 1568782837, PAC ID# 0749313278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1568782837 |
| PAC ID by PECOS | 0749313278 |
| Professional Enrollment ID | I20100804000086 |
| Full Name | Michael Glenn Kecman |
| Organization Legal Name | JACKSON CLINICS LIMITED PARTNERSHIP |
| Address |
13039 Worldgate Dr Herndon VA 20170-4374 |
| Phone Number | 7036893164 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2860623295 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8550 Lee Hwy 450, Fairfax, VA 22031-1519 | 7032081002 | JACKSON CLINICS LIMITED PARTNERSHIP |
| 13039 Worldgate Dr, Herndon, VA 20170-4374 | 7036893164 | JACKSON CLINICS LIMITED PARTNERSHIP |
| Organization Legal Name | JACKSON CLINICS LIMITED PARTNERSHIP |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Taylor Haines | Physical Therapy | Jackson Clinics Limited Partnership | 17301 Valley Mall Rd, Hagerstown, MD 21740-6966 |
| Samuel Monticello | Physical Therapy | Jackson Clinics Limited Partnership | 1407 Research Blvd, Rockville, MD 20850-3159 |
| Tyler Owens Meis | Physical Therapy | Jackson Clinics Limited Partnership | 8250 Greensboro Dr, Mclean, VA 22102-4902 |
| Jared Thornton Johnson | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Thomas Gallinaro | Physical Therapy | Jackson Clinics Limited Partnership | 7764 Armistead Rd, Suite 210, Lorton, VA 22079-1961 |
| Pathik Patel | Physical Therapy | Jackson Clinics Limited Partnership | 42365 Soave Dr, Suite 200, Brambleton, VA 20148-4888 |
| Ethan Ellsworth Gramstad | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Logan Sebastian | Physical Therapy | Jackson Clinics Limited Partnership | 209 Madison St, Ll2, Alexandria, VA 22314-1764 |
| Amanda Ruth Henry | Physical Therapy | Jackson Clinics Limited Partnership | 43490 Yukon Dr, Ashburn, VA 20147-6990 |
| Brett Gladish | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Street Address |
13039 WORLDGATE DR |
| City | HERNDON |
| State | VA |
| Zip | 20170-4374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Thornton Johnson | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Renae Soule' | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Colin Geldart | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Jessica A Jones | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Claire Dulin | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Ian Slattery | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine E Wycoff | Physical Therapy | 307 Marjorie Lane, Herndon, VA 20170-3334 | |
| Wendy W Roberts | Clinical Social Worker | 204 Herndon Station Sq, Herndon, VA 20170-3756 | |
| Patricia L Carnes | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 1062 Elden St, Suite 1402, Herndon, VA 20170-3803 |
| Jacquelyn D Katz | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 1062 Elden St, Suite 1402, Herndon, VA 20170-3803 |
| Lindsay S Witte | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 1062 Elden St, Suite 1402, Herndon, VA 20170-3803 |
| Nonye T Aghanya | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 1062 Elden St, Suite 1402, Herndon, VA 20170-3803 |
| Han Tonthat | Internal Medicine | 1041 Sterling Rd, Suite 106, Herndon, VA 20170-3841 | |
| Rajitha Siddineni | Family Medicine | Millenium Medical Corp | 1043 Sterling Rd, Suite 104, Herndon, VA 20170-3842 |
| Amee K Mehta | Family Medicine | Millenium Medical Corp | 1043 Sterling Rd, Suite 104, Herndon, VA 20170-3842 |
| Sapna Sharma | Internal Medicine | Millenium Medical Corp | 1043 Sterling Rd, Suite 104, Herndon, VA 20170-3842 |
| Find all physicians in zip 20170 | |||
| City | HERNDON |
| Zip Code | 20170 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HERNDON + 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.