| Ruchi Modi, | |
|
6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | |
| (718) 456-2545 | |
| (718) 559-6784 |
| Full Name | Ruchi Modi |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6805 Fresh Pond Rd, Ridgewood, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114569688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 044116 (New York) | Primary |
| Provider Name | Fresh Pond Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670 |
| Provider Name | Theradynamics Rehab Pt, Ot & Slp, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912463399 PECOS PAC ID: 4082045802 Enrollment ID: O20200512001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruchi Modi, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2545 | Ruchi Modi, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2545 |
Red Core Pt Pta And Rehabilitation Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144 | |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Mrs. Elenita Bautista Oliver, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1732 Dekalb Ave, Ridgewood, NY 11385 Phone: 718-386-3124 |