| Optimal Physical Therapy Sports And Wellness Center,llc | |
|
15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 | |
| (240) 474-5185 | |
| Not Available |
| Full Name | Optimal Physical Therapy Sports And Wellness Center,llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15245 Shady Grove Rd Ste 475, Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588172852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Yevgeniy Rubtsov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255485264 PECOS PAC ID: 6507969508 Enrollment ID: I20090615000597 |
| Provider Name | Janet R Lebantino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407180417 PECOS PAC ID: 3971642471 Enrollment ID: I20091123000107 |
| Provider Name | Michelle Alcantara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376820498 PECOS PAC ID: 7416287214 Enrollment ID: I20190920001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Physical Therapy Sports And Wellness Center,llc 15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 Ph: (301) 792-3586 | Optimal Physical Therapy Sports And Wellness Center,llc 15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222 Ph: (240) 474-5185 |
Kelly Marie Hanns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6208 Montrose Road, Rockville, MD 20852 Phone: 301-468-9343 | |
Samuel Noah Herbst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1071 Seven Locks Rd, Rockville, MD 20854 Phone: 301-515-0900 Fax: 240-912-2381 | |
Katherine Ortlieb Tiffey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 818 Carter Rd, Rockville, MD 20852 Phone: 202-257-4192 | |
Anjana Viswanathan, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 192 Halpine Rd Ste D, Rockville, MD 20852 Phone: 240-514-2400 Fax: 301-816-6968 | |
Mrs. Elham Tehranchi, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9909 Medical Center Drive, Rockville, MD 20850 Phone: 240-864-6000 Fax: 240-864-6049 | |
Mr. Pavlos Gkikas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4960 Boiling Brook Pkwy, Rockville, MD 20852 Phone: 410-989-3833 | |
Zahra Susan Nikseresht, MASTERS DEGREE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Executive Blvd Ste 510, Not Applicable, Rockville, MD 20852 Phone: 301-770-7900 Fax: 301-770-7904 |