Provider Demographics
NPI:1508489584
Name:SURPASS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SURPASS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:REMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-789-5016
Mailing Address - Street 1:14658 GAP WAY # 727
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-4958
Mailing Address - Country:US
Mailing Address - Phone:703-794-5570
Mailing Address - Fax:
Practice Address - Street 1:14265 LADDERBACKED DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-5922
Practice Address - Country:US
Practice Address - Phone:703-794-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-25
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty