| Ivan Santos Manasan, DPT, CSRS, PTRP | |
|
4922 Lasalle Rd, Hyattsville, MD 20782-3302 | |
| (301) 864-2333 | |
| Not Available |
| Full Name | Ivan Santos Manasan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518370592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24704 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| At Home Rehab | 9335512300 | 2 |
| Provider Name | At Home Rehab |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1992416572 PECOS PAC ID: 9335512300 Enrollment ID: O20230222002997 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Santos Manasan, DPT, CSRS, PTRP 3871 Chain Bridge Rd, Fairfax, VA 22030-3903 Ph: (818) 731-3576 | Ivan Santos Manasan, DPT, CSRS, PTRP 4922 Lasalle Rd, Hyattsville, MD 20782-3302 Ph: (301) 864-2333 |
Glynis Torio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Nicole Renee Garner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3311 Toledo Ter Ste A1, Hyattsville, MD 20782 Phone: 301-853-0093 | |
Malik Parker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3311 Toledo Ter Ste A1, Hyattsville, MD 20782 Phone: 301-853-0093 | |
Ranne Gilaine Buenaventura, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Samantha San Juan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Kavit Desai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 | |
Aska Dharod, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4922 Lasalle Rd, Hyattsville, MD 20782 Phone: 301-864-2333 Fax: 877-828-2060 |