MEDICARE: GARY YAGODA PT

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	2305202367	VA

General Provider Information

NPI Number	:	1639378862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY YAGODA PT

Provider Business Mailing Address
First Line	:	2251 PIMMIT DR
Second Line	:	1229
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 GREENSBORO DR
Second Line	:	LL 100
City	:	MC LEAN
State	:	VA
Zip	:	22102-3605
Country	:	US
Telephone Number	:	703-556-8477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

Similar Medicare Providers

1285568329 — ANGIE KATHERINE HILARION RODRIGUEZ
Practice Location Address:

8300 GREENSBORO DR STE L1-255
MC LEAN, VA
22102-3605

Practice Phone: 571-777-9200
Practice Fax:

1972438927 — GRACE STEPHANIE NAMBO-RENOMBO
Practice Location Address:

8300 GREENSBORO DR
MC LEAN, VA
22102-3605

Practice Phone: 571-777-9200
Practice Fax:

1457286437 — VITALENA JENNIE LEON
Practice Location Address:

8300 GREENSBORO DR STE L1-255
MC LEAN, VA
22102-3605

Practice Phone: 719-492-1573
Practice Fax:

1447185442 — KENDALL HENNIGAN
Practice Location Address:

8300 GREENSBORO DR
MC LEAN, VA
22102-3605

Practice Phone: 571-777-9200
Practice Fax:

1912045105 — UNITED MEDICAL MANAGEMENT, INC.
Practice Location Address:

8300 GREENSBORO DR , SUITE 800
MC LEAN, VA
22102-3605

Practice Phone: 310-643-1640
Practice Fax:

1073834412 — DR. SAEED TAHERI M.D.
Practice Location Address:

8300 GREENSBORO DR , SUITE 1050
MC LEAN, VA
22102-3605

Practice Phone: 703-394-3400
Practice Fax:

Directions to “ GARY YAGODA PT” 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.