| Portera Rehabilitation | |
|
4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 | |
| (301) 358-6155 | |
| (301) 423-1440 |
| Full Name | Portera Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4467 Old Branch Ave Ste 103, Temple Hills, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649404179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21443 (Maryland) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Raphael Denbow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932438868 PECOS PAC ID: 8921140161 Enrollment ID: I20100126000497 |
| Provider Name | Andre P Goldson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215247713 PECOS PAC ID: 0941475487 Enrollment ID: I20111212000129 |
| Provider Name | Roberto M Bonnevie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588891584 PECOS PAC ID: 6002047594 Enrollment ID: I20140326001418 |
| Provider Name | Leshia N Weers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073879250 PECOS PAC ID: 4486967858 Enrollment ID: I20150715000609 |
| Provider Name | Rawlda L Freeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659649820 PECOS PAC ID: 1052570330 Enrollment ID: I20181024000315 |
| Provider Name | Folake Ayegbusi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861150278 PECOS PAC ID: 4082000658 Enrollment ID: I20220407000581 |
| Provider Name | Ariel Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700657152 PECOS PAC ID: 6002259017 Enrollment ID: I20240207000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Portera Rehabilitation 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 Ph: (301) 358-6155 | Portera Rehabilitation 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 Ph: (301) 358-6155 |
Cary Peralta, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 | |
Anthony Shepherd Ii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2422 Olson St, Temple Hills, MD 20748 Phone: 202-409-9960 | |
Indya Warr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4467 Old Branch Ave, Suite 101, Temple Hills, MD 20748 Phone: 301-358-6155 | |
Rawlda Freeman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 Fax: 301-423-1440 | |
Raphael Joshua Denbow Ii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748 Phone: 301-358-6155 Fax: 301-423-1440 | |
Mrs. Christianne Cabangon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4863 Saint Barnabas Rd, Apt 7, Temple Hills, MD 20748 Phone: 240-330-3544 |