MEDICARE: JENNIFER TANG

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	261QP2000X	Physical Therapy Clinic/Center	2305214353	VA

General Provider Information

NPI Number	:	1811781537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER TANG

Provider Business Mailing Address
First Line	:	43150 BROADLANDS CENTER PLZ STE 124
Second Line	:	PO BOX 4053
City	:	BROADLANDS
State	:	VA
Zip	:	20148-3808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44035 RIVERSIDE PKWY STE 500
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-8273
Country	:	US
Telephone Number	:	703-858-6667
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/14/2025

Similar Medicare Providers

1831057785 — PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Practice Location Address:

44035 RIVERSIDE PKWY STE 345
LEESBURG, VA
20176-8273

Practice Phone: 800-243-3839
Practice Fax:

1780621656 — DR. MATTHEW TIMOTHY HUEMAN M.D.
Practice Location Address:

44035 RIVERSIDE PKWY STE 310
LEESBURG, VA
20176-8273

Practice Phone: 571-350-8400
Practice Fax: 703-724-7503

1669330510 — KATHERINE BRODNER
Practice Location Address:

654A FORT EVANS RD NE APT 309
LEESBURG, VA
20176-4000

Practice Phone: 202-830-7107
Practice Fax:

1154289015 — PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Practice Location Address:

44045 RIVERSIDE PKWY
LEESBURG, VA
20176-5101

Practice Phone: 800-243-3839
Practice Fax:

1366300931 — MRS. MARIA MCMURRAY CUNNINGHAM
Practice Location Address:

19 E MARKET ST STE 104
LEESBURG, VA
20176-3001

Practice Phone: 571-266-1808
Practice Fax:

1255002606 — JILL K HIGGINS
Practice Location Address:

50 CATOCTIN CIR NE STE 101
LEESBURG, VA
20176-3101

Practice Phone: 540-324-3261
Practice Fax:

Directions to “ JENNIFER TANG ” 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.