| Mr Rajajitendra Varma Vanapala, PT | |
|
1400 W. Park, Presence Covenant Medical Center, Urbana, IL 61801 | |
| (217) 337-2000 | |
| (217) 337-4603 |
| Full Name | Mr Rajajitendra Varma Vanapala |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Cardiopulmonary |
| Location | 1400 W. Park, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023539988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251C2600X | Physical Therapist - Cardiopulmonary | (Illinois) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20230206001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rajajitendra Varma Vanapala, PT 1400 W. Park, Presence Covenant Medical Center, Urbana, IL 61801 Ph: (217) 337-2109 | Mr Rajajitendra Varma Vanapala, PT 1400 W. Park, Presence Covenant Medical Center, Urbana, IL 61801 Ph: (217) 337-2000 |
Anne Fahnestock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Dr. Kathleen Heinricher, PT, DPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-954-4868 | |
Ms. Kimberly Hardin, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Anthony Dr, Urbana, IL 61802 Phone: 217-326-2911 Fax: 217-344-8047 | |
Kimberlie D Mills, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Mr. Michael T Slobodnik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Anthony Dr, Urbana, IL 61802 Phone: 217-383-3400 Fax: 217-383-3437 | |
Mr. Matthew Frankie, PT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Anthony Dr, Urbana, IL 61802 Phone: 217-326-2911 Fax: 217-344-8047 |