| Evidence Physical Therapy, Llc | |
|
12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 | |
| (301) 352-8370 | |
| (301) 352-8372 |
| Full Name | Evidence Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12150 Annapolis Rd Ste 201, Glenn Dale, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265162473 | NPI | - | NPPES |
| 616235300 | Other | MD | DEPARTMENT OF LABOR |
| 533704601 | Medicaid | MD | |
| 533704600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evidence Physical Therapy, Llc 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 Ph: (301) 352-8370 | Evidence Physical Therapy, Llc 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 Ph: (301) 352-8370 |
Nicole N Kabia-smith, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769 Phone: 301-364-9292 Fax: 301-552-9743 | |
Robert Ninan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769 Phone: 301-853-0093 Fax: 301-853-0096 | |
Rachael Omole, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769 Phone: 301-805-5006 | |
Cecilia Esther Campos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Ikechukwu Ekwunife, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Joann Teh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 Fax: 877-828-2060 |