| Aidan Blanco, DPT, PT | |
|
2730 University Blvd W, Silver Spring, MD 20902-1905 | |
| (301) 962-7612 | |
| Not Available |
| Full Name | Aidan Blanco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2730 University Blvd W, Silver Spring, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912782285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304739 (California) | Secondary |
| 225100000X | Physical Therapist | 212767 (Maryland) | Primary |
| Provider Name | Prosport Physical Therapy Professionals Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073170437 PECOS PAC ID: 0749510634 Enrollment ID: O20200304001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Aidan Blanco, DPT, PT 12900 Ruxton Rd, Silver Spring, MD 20904-5278 Ph: () - | Aidan Blanco, DPT, PT 2730 University Blvd W, Silver Spring, MD 20902-1905 Ph: (301) 962-7612 |
Dr. Tami Lynn Radov, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Jaystone Ct, Silver Spring, MD 20905 Phone: 301-646-9026 | |
Dr. Edward B Ashton, D.C., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 962 Wayne Ave, Ste. L-a, Silver Spring, MD 20910 Phone: 301-587-9717 Fax: 301-587-9714 | |
Dr. Ishioma E Opia-edemenya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 | |
Robert James Esbrandt, PT, DPT, PES Physical Therapist Medicare: Medicare Enrolled Practice Location: 2415 Musgrove Rd Ste 303, Silver Spring, MD 20904 Phone: 301-989-9040 Fax: 301-989-0939 | |
Dr. Esther Ibilola Jobi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14400 Astrodome Dr, Silver Spring, MD 20906 Phone: 706-267-9780 | |
Karen Murphy, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3828 International Dr, Silver Spring, MD 20906 Phone: 301-853-0093 | |
Sophie Lane, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11271 New Hampshire Ave, Silver Spring, MD 20904 Phone: 240-485-1280 |