| Punith Kumar Shivapura Nanjundaiah, DPT | |
|
3600 Pointe Center Ct Ste 110, Dumfries, VA 22026-2670 | |
| (757) 523-1790 | |
| Not Available |
| Full Name | Punith Kumar Shivapura Nanjundaiah |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3600 Pointe Center Ct Ste 110, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023699790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305213224 (Virginia) | Primary |
| Provider Name | Sentara Therapy Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316590789 PECOS PAC ID: 8325370380 Enrollment ID: O20191024002682 |
| Mailing Address | Practice Location Address |
|---|---|
| Punith Kumar Shivapura Nanjundaiah, DPT 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026-2670 Ph: (757) 523-1790 | Punith Kumar Shivapura Nanjundaiah, DPT 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026-2670 Ph: (757) 523-1790 |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 Fax: 703-441-7695 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |