| Elena Dernovish, DPT | |
|
1340 Gaskins Rd Unit 12, Henrico, VA 23238-4919 | |
| (804) 747-4417 | |
| Not Available |
| Full Name | Elena Dernovish |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1340 Gaskins Rd Unit 12, Henrico, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407696040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216472 (Virginia) | Primary |
| Provider Name | Progress Rehabilitation Network Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760434948 PECOS PAC ID: 3779588256 Enrollment ID: O20060918000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Dernovish, DPT 1340 Gaskins Rd Unit 12, Henrico, VA 23238-4919 Ph: () - | Elena Dernovish, DPT 1340 Gaskins Rd Unit 12, Henrico, VA 23238-4919 Ph: (804) 747-4417 |
Russel Wayne Underwood, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1523 Split Oak Ln Apt H, Henrico, VA 23229 Phone: 804-288-2052 | |
Nicole Marie Anderson, PT, DPT, NCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8191 Staples Mill Rd, Henrico, VA 23228 Phone: 804-523-2653 | |
Grant Silvestri, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3413 Cox Rd, Henrico, VA 23233 Phone: 804-729-4117 Fax: 804-729-4194 | |
Bestinjohn Kanjiracal Jacob, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 Fax: 888-815-8184 | |
Kyle Ethan Shope, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3001 Hungary Spring Rd Ste D, Henrico, VA 23228 Phone: 804-756-8490 | |
Bhargavi Nitant Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 | |
Mrs. Neepaben C Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 A Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 |