| Mrs Tamara Evette Johnson, | |
|
6196 Oxon Hill Rd, Suite 430, Oxon Hill, MD 20745-3100 | |
| (301) 567-1678 | |
| (301) 567-2728 |
| Full Name | Mrs Tamara Evette Johnson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 6196 Oxon Hill Rd, Oxon Hill, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174700413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 20141 (Maryland) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2305202035 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sports Pro Physical Therapy South Llc | 4880919638 | 4 |
| Entity Name | Sports Pro Physical Therapy South Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1124438700 PECOS PAC ID: 4880919638 Enrollment ID: O20150219000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tamara Evette Johnson, Po Box 79586, Baltimore, MD 21279-3100 Ph: (301) 567-1678 | Mrs Tamara Evette Johnson, 6196 Oxon Hill Rd, Suite 430, Oxon Hill, MD 20745-3100 Ph: (301) 567-1678 |
Dr. Vabian Lewitt Paden, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745 Phone: 240-702-2719 Fax: 240-702-2716 | |
Anuradha Kulkarni, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, Suite 606, Oxon Hill, MD 20745 Phone: 301-839-6811 Fax: 301-839-1869 | |
Dr. Arthur Peter Barletta, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6710 Oxon Hill Rd Ste 550, Oxon Hill, MD 20745 Phone: 301-485-7400 |