MEDICARE: LOUDOUN MEDICAL GROUP, PC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215358155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUDOUN MEDICAL GROUP, PC

Provider Business Mailing Address
First Line	:	PO BOX 17334
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-1334
Country	:	US
Telephone Number	:	703-443-6717
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	19465 DEERFIELD AVE STE 208
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-1703
Country	:	US
Telephone Number	:	703-858-7778
Fax Number	:	703-988-1925

Authorized Official
Title or Position	:	CEO
Name	:	MARY BETH TAMASY
Credential	:
Telephone Number	:	703-737-6010

Provider Enumeration Date	:	12/19/2013
Last Update Date	:	08/18/2023

Similar Medicare Providers

1306631668 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:

19465 DEERFIELD AVE STE 207
LEESBURG, VA
20176-1703

Practice Phone: 703-687-6001
Practice Fax:

1396973053 — THE SKINSTITUTE
Practice Location Address:

19465 DEERFIELD AVE STE 201
LEESBURG, VA
20176-1703

Practice Phone: 703-914-3603
Practice Fax: 703-914-3604

1013964600 — DR. REBECCA MEASELL OWENS PHD, CCC-A
Practice Location Address:

19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703

Practice Phone: 703-858-7620
Practice Fax: 703-858-7657

1093852386 — MS. ELISABETH ANN GRAHAM M.S., CCC-SLP
Practice Location Address:

19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703

Practice Phone: 703-858-7620
Practice Fax:

1013149210 — SARAH RENEE SPICER OTR/L
Practice Location Address:

19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703

Practice Phone: 703-858-7620
Practice Fax:

1154877462 — BARBARA WINTHROP OTR/L
Practice Location Address:

19465 DEERFIELD AVE STE 201
LANSDOWNE, VA
20176-1703

Practice Phone: 703-858-7620
Practice Fax:

Directions to “LOUDOUN MEDICAL GROUP, PC ” 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.