| Pavankumar Raja, DPT | |
| 
					3165 Crain Hwy Ste 100, Waldorf, MD 20603-4847  | |
| (301) 885-2500 | |
| Not Available | 
| Full Name | Pavankumar Raja | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 3165 Crain Hwy Ste 100, Waldorf, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326683186 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 27793 (Maryland) | Primary | 
| Provider Name | Sage Physical Therapy & Wellness Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1467757575 PECOS PAC ID: 4789860131 Enrollment ID: O20110519000118  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pavankumar Raja, DPT Po Box 419666, Boston, MA 02241-9666 Ph: (410) 970-8190  | Pavankumar Raja, DPT 3165 Crain Hwy Ste 100, Waldorf, MD 20603-4847 Ph: (301) 885-2500  | 
Mr. David Grossman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603 Phone: 301-870-6717 Fax: 301-870-7366  | |
Alexander David Sharr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 Phone: 301-645-0013 Fax: 301-645-1183  | |
Ms. Filisha Mae Lustfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Post Office Rd Ste 105, Waldorf, MD 20602 Phone: 301-893-2345 Fax: 301-638-1783  | |
Anupkumar Yadav, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3165 Crain Hwy Ste 100, Waldorf, MD 20603 Phone: 301-885-2500 Fax: 301-885-2501  | |
Elias Petros Showler,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 11325 Pembrooke Sq Fl 2, Waldorf, MD 20603 Phone: 301-719-1146  | |
Us Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Post Office Rd, Suite # 103, Waldorf, MD 20602 Phone: 301-266-1305  | |
Mansi Chavan,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 11665 Doolittle Dr, Waldorf, MD 20602 Phone: 877-407-3422 Fax: 877-407-4329  |