| Mrs Anusha Madanamohan, PHYSICAL THERAPIST | |
| 
					2415 Sandy Porter Rd, Charlotte, NC 28273-3695  | |
| (704) 583-0430 | |
| Not Available | 
| Full Name | Mrs Anusha Madanamohan | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist - Geriatrics | 
| Location | 2415 Sandy Porter Rd, Charlotte, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285002253 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary | 
| 2251G0304X | Physical Therapist - Geriatrics | P15694 (North Carolina) | Primary | 
| Provider Name | Creative Health Care Management Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1407463128 PECOS PAC ID: 4385929892 Enrollment ID: O20201116000484  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Anusha Madanamohan, PHYSICAL THERAPIST 9604 Woburn Rd, Charlotte, NC 28277-1967 Ph: (980) 322-7374  | Mrs Anusha Madanamohan, PHYSICAL THERAPIST 2415 Sandy Porter Rd, Charlotte, NC 28273-3695 Ph: (704) 583-0430  | 
Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000  | |
Jessica Huschart,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382  | |
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409  | |
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019  | |
Gelt Haridhas Pushpa,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737  | |
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500  | |
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897  |