Michael Defosse (NPI# 1720309081, PAC ID# 3476828658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1720309081 |
| PAC ID by PECOS | 3476828658 |
| Professional Enrollment ID | I20171016000064 |
| Full Name | Michael Defosse |
| Organization Legal Name | BODY KINETICS REHAB, LLC |
| Address |
7617 Little River Tpke Suite 110 Annandale VA 22003-2603 |
| Phone Number | 7036390950 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 4688766256 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 | 7036390950 | BODY KINETICS REHAB, LLC |
| Organization Legal Name | BODY KINETICS REHAB, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Hite | Occupational Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Mai-kristin Duncan | Qualified Speech Language Pathologist | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Vibhakar Karambelkar | Physical Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Vanessa M Lagera | Physical Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Bethany R Rubinstein | Speech Language Pathologist | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Street Address |
7617 LITTLE RIVER TPKE SUITE 110 |
| City | ANNANDALE |
| State | VA |
| Zip | 22003-2603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hyoung K Kang | Physical Therapy | 7617 Little River Tpke, Suite 430, Annandale, VA 22003-2603 | |
| Hillary D Hite | Occupational Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Mai-kristin Duncan | Qualified Speech Language Pathologist | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Edward M Friedler | Family Medicine | Population Health Management LLC | 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2635 |
| Vibhakar Karambelkar | Physical Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Vanessa M Lagera | Physical Therapy | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Bethany R Rubinstein | Speech Language Pathologist | Body Kinetics Rehab, LLC | 7617 Little River Tpke, Suite 110, Annandale, VA 22003-2603 |
| Carolina R Nido | Nurse Practitioner | Inova Health Care Services | 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cassidy | Orthopedic Surgery | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | |
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| Colleen A Kennedy | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| John K Wilson | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Sean C Graham | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan D Campbell | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Megan M Oconnor | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Navdeep K Dhaliwal | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Anna G Davis | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan M Dempsey Lyle | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Find all physicians in zip 22003 | |||
| City | ANNANDALE |
| Zip Code | 22003 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | ANNANDALE + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Michael Defosse.
| 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.