| Anna Lastra, DPT | |
|
2314 Pulaski Hwy Ste A, North East, MD 21901-3730 | |
| (410) 287-2940 | |
| (410) 287-2941 |
| Full Name | Anna Lastra |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2314 Pulaski Hwy Ste A, North East, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679356935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 27085 (Massachusetts) | Primary |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Lastra, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Anna Lastra, DPT 2314 Pulaski Hwy Ste A, North East, MD 21901-3730 Ph: (410) 287-2940 |
Kathleen Miller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Holly Shane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2314 Pulaski Hwy, Suite A, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
Dr. Sean Michael Peden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 | |
David Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Margaret Steller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941 | |
Michelle Thompson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441 | |
Joseph George Kalathil, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 |