| Orthopedic & Sports Physical Therapy | |
|
10665 Stanhaven Pl, Suite 103, White Plains, MD 20695-3060 | |
| (301) 645-6680 | |
| (301) 645-5363 |
| Full Name | Orthopedic & Sports Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10665 Stanhaven Pl, White Plains, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003031923 | NPI | - | NPPES |
| K7590001 | Other | MD | CAREFIRST DC |
| 1064250 | Other | MD | AETNA |
| K7590001 | Other | MD | BLUE CROSS FEDERAL |
| 60906402 | Other | MD | CAREFIRST |
| 2140256 | Other | MD | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19798 (Maryland) | Primary |
| Provider Name | Robert E Kans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639296866 PECOS PAC ID: 9133140106 Enrollment ID: I20051219000284 |
| Provider Name | Jerry L Glenn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063729077 PECOS PAC ID: 0749477123 Enrollment ID: I20101210000589 |
| Provider Name | Sean Onyiyechi Ekekwe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659838639 PECOS PAC ID: 8820339682 Enrollment ID: I20190405000064 |
| Provider Name | Jonniel Marquez Estrella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083171060 PECOS PAC ID: 4880935568 Enrollment ID: I20190405001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Sports Physical Therapy 10665 Stanhaven Pl, Suite 103, White Plains, MD 20695-3060 Ph: (301) 645-6680 | Orthopedic & Sports Physical Therapy 10665 Stanhaven Pl, Suite 103, White Plains, MD 20695-3060 Ph: (301) 645-6680 |
Dr. Gabriela Elena Moreno-king, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4225 Altamont Pl Ste 102, White Plains, MD 20695 Phone: 301-932-5299 | |
Angela R. Richards, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10665 Stanhaven Pl, Suite 103, White Plains, MD 20695 Phone: 301-645-6680 Fax: 301-645-5363 | |
Dr. Aurora Anne Clements, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4240 Altamont Pl Ste 104, White Plains, MD 20695 Phone: 301-893-2345 | |
Dr. Robert Michael Connolly, PT, DPT, MBA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-645-6680 | |
Dr. Robert Allan Shymansky Jr., PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-934-5336 | |
Miss Taylor Lynn Haude, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-934-5336 |