| Maryalicia Grassano, PT, DPT | |
|
968 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3171 | |
| (757) 412-1005 | |
| (757) 412-1015 |
| Full Name | Maryalicia Grassano |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 968 First Colonial Rd, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538545108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305209667 (Virginia) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 2305209667 (Virginia) | Primary |
| Provider Name | Glasson Sports Medicine Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366560229 PECOS PAC ID: 3476531179 Enrollment ID: O20040709000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryalicia Grassano, PT, DPT Po Box 412307 Suite 101, Boston, MA 02241-3171 Ph: (914) 294-4050 | Maryalicia Grassano, PT, DPT 968 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-3171 Ph: (757) 412-1005 |
Celso Chavez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Lake Havasu Dr, Virginia Beach, VA 23454 Phone: 609-381-9803 | |
Janice Anne Barrera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464 Phone: 757-467-1900 Fax: 757-467-7900 | |
Lindsey Pauley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455 Phone: 577-648-8562 Fax: 757-648-8564 | |
Mrs. Keyuri S Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 Phone: 757-995-2700 Fax: 757-995-2701 | |
Haygood Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-460-1809 | |
Ms. Judith M Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-473-8016 Fax: 757-473-3580 | |
Wendy Bryant, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, 310, Virginia Beach, VA 23452 Phone: 757-490-3223 |