| Divya Agrawal, | |
|
1695 Main St, Chipley, FL 32428-5992 | |
| (850) 638-3387 | |
| Not Available |
| Full Name | Divya Agrawal |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 1695 Main St, Chipley, Florida |
| 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 |
|---|---|---|---|
| 1952823247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT32377 (Florida) | Secondary |
| 225100000X | Physical Therapist | 070024389 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletic And Therapeutic Institute Of Bourbonnais, Llc | 4183692577 | 137 |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Divya Agrawal, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Divya Agrawal, 1695 Main St, Chipley, FL 32428-5992 Ph: (850) 638-3387 |
Debra M Grande, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217 | |
Freddie A Kolmetz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St, Suite 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217 | |
Burl Edwin Carroll Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St Ste 3a, Chipley, FL 32428 Phone: 850-638-3387 | |
Absolute Physical & Aquatic Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967 | |
Mrs. Taniazehra I Momin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1695 Main St, Chipley, FL 32428 Phone: 850-638-3387 | |
Chauncey Belser, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447 | |
Mrs. Ariel Jessica White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967 |