Kerry A Mimberg (NPI# 1558338418, PAC ID# 2062419583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1558338418 |
| PAC ID by PECOS | 2062419583 |
| Professional Enrollment ID | I20061026000044 |
| Full Name | Kerry A Mimberg |
| Organization Legal Name | OPTIMAL PHYSICAL THERAPY LLC |
| Address |
1700 N Moore St Suite 1925 Arlington VA 22209-1916 |
| Phone Number | 7035584960 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6608140637 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 N Moore St, Suite 1925, Arlington, VA 22209-1916 | 7035584960 | OPTIMAL PHYSICAL THERAPY LLC |
| Organization Legal Name | OPTIMAL PHYSICAL THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Pietraszewski | Physical Therapy | Optimal Physical Therapy LLC | 1700 N Moore St, Suite 1925, Arlington, VA 22209-1916 |
| David Harding | Physical Therapy | Optimal Physical Therapy LLC | 3633 Cortez W Rd, A4, Bradenton, FL 34210-3100 |
| Street Address |
1700 N MOORE ST SUITE 1925 |
| City | ARLINGTON |
| State | VA |
| Zip | 22209-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Weiss | Optometry | 1700 N Moore St, Suite 300, Arlington, VA 22209-1903 | |
| Melissa A Pietraszewski | Physical Therapy | Optimal Physical Therapy LLC | 1700 N Moore St, Suite 1925, Arlington, VA 22209-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra C Stewart | Physician Assistant | Skindc Pllc | 1525 Wilson Blvd, Suite 125, Arlington, VA 22209-2411 |
| Lina I Naga | Dermatology | Skindc Pllc | 1525 Wilson Blvd, Suite 125, Arlington, VA 22209-2411 |
| Jacqueline M Bourassa | Physician Assistant | Skindc Pllc | 1525 Wilson Blvd, Suite 125, Arlington, VA 22209-2411 |
| Mary E Walterhoefer | Dermatology | Skindc Pllc | 1525 Wilson Blvd, Suite 125, Arlington, VA 22209-2411 |
| Terrence C Keaney | Dermatology | Skindc Pllc | 1525 Wilson Blvd, Suite 125, Arlington, VA 22209-2411 |
| Maxwell Blake | Physical Therapy | Professional Sportscare and Rehab LLC | 1600 Wilson Blvd, Suite 102, Arlington, VA 22209-2505 |
| Sheila Ramsey | Clinical Social Worker | 1600 Wilson Blvd, Suite 702 Rosslyn Va, Arlington, VA 22209-2505 | |
| Wilfried Sansfaute | Chiropractic | 1600 Wilson Blvd, Suite 320, Arlington, VA 22209-2510 | |
| Lonnie D Davis | Orthopedic Surgery | 1701 Clarendon Blvd, Suite 120, Arlington, VA 22209-2700 |
| City | ARLINGTON |
| Zip Code | 22209 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ARLINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kerry A Mimberg.
| 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.