Jacob Alexander Walton (NPI# 1942869821, PAC ID# 3375870397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1942869821 |
| PAC ID by PECOS | 3375870397 |
| Professional Enrollment ID | I20190813002468 |
| Full Name | Jacob Alexander Walton |
| Organization Legal Name | PROFESSIONAL SPORTSCARE AND REHAB LLC |
| Address |
1001 G St Nw Washington DC 20001-4545 |
| Phone Number | 2023477745 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335137363 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 G St Nw, Washington, DC 20001-4545 | 2023477745 | 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 |
1001 G ST NW |
| City | WASHINGTON |
| State | DC |
| Zip | 20001-4545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Mcdonough | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Timothy Eckert | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Jeremy Curtis | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Margaret Dodman | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Daniel Soler | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Dharti V Shah | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Jillian Certo | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Erin Podracky | Physical Therapy | Professional Sportscare and Rehab LLC | 1001 G St Nw, Washington, DC 20001-4545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Jacquelyn M Horton | Clinical Social Worker | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Cecillia Tsao | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Shiban L Raina | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Mir Javid | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Deborah V Suchman | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Anna Quast | Nurse Practitioner | Some Inc | 60 O Nwst, Washington, DC 20001-1259 |
| Arda Kasaci | Psychiatry | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Janelle Marie Mancuso | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Theresa M. Owens | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Find all physicians in zip 20001 | |||
| City | WASHINGTON |
| Zip Code | 20001 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WASHINGTON + 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.