Healthcare Provider Details
I. General information
NPI: 1457166340
Provider Name (Legal Business Name): LEMEK PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5130 WILSON BLVD
ARLINGTON VA
22205-1169
US
IV. Provider business mailing address
2428 S WALTER REED DR UNIT C
ARLINGTON VA
22206-1180
US
V. Phone/Fax
- Phone: 703-946-8693
- Fax:
- Phone: 703-946-8693
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREGORY
MICHAEL
LEMEK
Title or Position: OWNER
Credential: DPT
Phone: 703-946-8693