Jackalyn N Peterson (NPI# 1013241769, PAC ID# 1355488107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1013241769 |
| PAC ID by PECOS | 1355488107 |
| Professional Enrollment ID | I20091027000529 |
| Full Name | Jackalyn N Peterson |
| Organization Legal Name | EXCEL REHABILITATION PLLC |
| Address |
9860 Fairfax Blvd Suite 1 Fairfax VA 22030-1702 |
| Phone Number | 7033831616 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1355243734 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 24585 Stone Carver Dr, Suite 275, Aldie, VA 20105-2798 | 7033831616 | EXCEL REHABILITATION PLLC |
| 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 | 7033831616 | EXCEL REHABILITATION PLLC |
| Organization Legal Name | EXCEL REHABILITATION PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor D Blattenberger | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Suite 275, Aldie, VA 20105-2798 |
| April A Munoz | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Aldie, VA 20105-2798 |
| Christine Loftus | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Megan Mccabe | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Duncan Gerhard | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Rachel E Herrmann | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Suite 275, Aldie, VA 20105-2798 |
| Hayley Hammond | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Danielle Leber | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Fairfax, VA 22030-1737 |
| Street Address |
9860 FAIRFAX BLVD SUITE 1 |
| City | FAIRFAX |
| State | VA |
| Zip | 22030-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Loftus | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Megan Mccabe | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Duncan Gerhard | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Hayley Hammond | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1702 |
| Danielle Leber | Physical Therapy | Excel Rehabilitation Pllc | 9860 Fairfax Blvd, Fairfax, VA 22030-1737 |
| Ashley E Taylor | Physical Therapy | Excel Rehabilitation, Pllc | 9860 Fairfax Blvd, Suite 1, Fairfax, VA 22030-1737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simrit Kahlon | Physician Assistant | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Suzana Jones | Psychologist, Clinical | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Alok Kumar | Psychiatry | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 | |
| Suzanne Cox | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Vikas Mangewala | Psychiatry | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Chin Oh Kim | General Practice | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0986 | |
| Christina Webster | Clinical Social Worker | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Mimi Tyson | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Umu Benjamin | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| James S Houston | Anesthesiology | Mid Atlantic Pain Management LLC | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0986 |
| Find all physicians in zip 22030 | |||
| City | FAIRFAX |
| Zip Code | 22030 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRFAX + 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.