| Nikisha Gandhi, PT | |
|
12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | |
| (301) 805-5006 | |
| (301) 805-5004 |
| Full Name | Nikisha Gandhi |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629317201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 25258 (Maryland) | Primary |
| Provider Name | Sports Pro Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285611608 PECOS PAC ID: 4688748106 Enrollment ID: O20080801000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikisha Gandhi, PT 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 Ph: (301) 805-5006 | Nikisha Gandhi, PT 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 Ph: (301) 805-5006 |
Nicole N Kabia-smith, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769 Phone: 301-364-9292 Fax: 301-552-9743 | |
Robert Ninan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769 Phone: 301-853-0093 Fax: 301-853-0096 | |
Rachael Omole, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769 Phone: 301-805-5006 | |
Cecilia Esther Campos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Ikechukwu Ekwunife, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Evidence Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 Fax: 301-352-8372 | |
Joann Teh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 Fax: 877-828-2060 |