MEDICARE: MEDICAL TRANSPORTATION SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0540402	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144225533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL TRANSPORTATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	360 HERNDON PKWY
Second Line	:	STE 1200
City	:	HERNDON
State	:	VA
Zip	:	20170-4824
Country	:	US
Telephone Number	:	571-323-0800
Fax Number	:	571-323-0801

Provider Business Practice Location Address
First Line	:	360 HERNDON PKWY
Second Line	:	STE 1200
City	:	HERNDON
State	:	VA
Zip	:	20170-4824
Country	:	US
Telephone Number	:	571-323-0800
Fax Number	:	571-323-0801

Authorized Official
Title or Position	:	DIRECTOR, CHIEF OF OPERATIONS
Name	:	MR. RANDOLPH THOMAS BRETON
Credential	:	MEDIC
Telephone Number	:	571-323-0800

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	06/19/2008

Similar Medicare Providers

1427464742 — MRS. SANJANA N RAO MARTINELLO M.A., BCBA, LBA
Practice Location Address:

131 ELDEN ST STE 302
HERNDON, VA
20170-4851

Practice Phone: 571-401-1082
Practice Fax: 703-435-4021

1689516684 — ENSPIRE WELLNESS CHRISTIAN THERAPY
Practice Location Address:

205 VAN BUREN ST # 121
HERNDON, VA
20170-5348

Practice Phone: 240-597-0497
Practice Fax:

1801176516 — MRS. LINDA LEA ISAZA M.S., BCBA, LBA
Practice Location Address:

131 ELDEN ST STE 302
HERNDON, VA
20170-4851

Practice Phone: 703-496-4371
Practice Fax: 703-435-4021

1194382580 — ALEXANDRIA JOHNSON BCBA, MA, LBA
Practice Location Address:

131 ELDEN ST STE 302
HERNDON, VA
20170-4851

Practice Phone: 703-496-4371
Practice Fax: 703-435-4021

1639174642 — DONNA LYNN SCHUSTER M.D.
Practice Location Address:

100 ELDEN ST , STE 10
HERNDON, VA
20170

Practice Phone: 703-689-2000
Practice Fax: 703-478-6612

1164427175 — NGOC VU M.D.
Practice Location Address:

100 ELDEN ST , STE 10
HERNDON, VA
20170-4833

Practice Phone: 703-689-2000
Practice Fax: 703-478-6612

Directions to “MEDICAL TRANSPORTATION SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.