| Anna Elicia Cumbo, DPT | |
|
4140 Ramsey St, Fayetteville, NC 28311-7672 | |
| (910) 920-4903 | |
| (910) 920-4910 |
| Full Name | Anna Elicia Cumbo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4140 Ramsey St, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457965519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP017886T (North Carolina) | Primary |
| 225100000X | Physical Therapist | 2305213886 (Virgin Island) | Secondary |
| Provider Name | Central Virginia Orthopaedics & Sports Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437194289 PECOS PAC ID: 6305742610 Enrollment ID: O20031209000216 |
| Provider Name | Liberty Sports & Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245980341 PECOS PAC ID: 7416334693 Enrollment ID: O20220509000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Elicia Cumbo, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (502) 882-9379 | Anna Elicia Cumbo, DPT 4140 Ramsey St, Fayetteville, NC 28311-7672 Ph: (910) 920-4903 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 | |
Tobi Alyssa Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dr. Jackson Thomas Pruett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5860 Yadkin Rd, Fayetteville, NC 28303 Phone: 910-491-5164 |