| Thera Dynamic Physical Therapy P.c | |
|
7922 Jamaica Ave, Woodhaven, NY 11421-1801 | |
| (347) 494-5684 | |
| (347) 494-5641 |
| Full Name | Thera Dynamic Physical Therapy P.c |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7922 Jamaica Ave, Woodhaven, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750471124 | NPI | - | NPPES |
| 82ADC1 | Other | NY | EMPIRE BCBS |
| P4059437 | Other | NY | OXFORD FREEDOM |
| OP025591 | Other | NY | METROPLUS |
| PT025591-A85 | Other | NY | HEALTHFIRST |
| 1760591465-01 | Other | NY | VILLAGE CARE |
| 841087 | Other | NY | OPTUM HEALTH |
| PH0434 | Other | NY | ELDER PLAN |
| 1263296P | Other | NY | EMBLEM HEALTH |
| 01941401 | Other | NY | EMPIRE BCBS HEALTHPLUS |
| 02837832 | Medicaid | NY | |
| 2766209 | Other | NY | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 025591-0 (New York) | Primary |
| Provider Name | Leezel May Andres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760591465 PECOS PAC ID: 8628170115 Enrollment ID: I20070301000662 |
| Provider Name | Mary Jean P Endozo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740551415 PECOS PAC ID: 9234398348 Enrollment ID: I20120309000109 |
| Provider Name | Lalaine Garcia Luna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205194164 PECOS PAC ID: 5092054635 Enrollment ID: I20210309001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Thera Dynamic Physical Therapy P.c 5043 213th St, Bayside Hills, NY 11364-1221 Ph: (917) 783-8616 | Thera Dynamic Physical Therapy P.c 7922 Jamaica Ave, Woodhaven, NY 11421-1801 Ph: (347) 494-5684 |
Shiarree Evaristo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91-35 97th Street, Woodhaven, NY 11421 Phone: 347-965-3356 | |
Keri Lynn Heron, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Jamaica Ave, Woodhaven, NY 11421 Phone: 631-366-3898 | |
Grace Bonus, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7907 Jamaica Ave, Woodhaven, NY 11421 Phone: 347-494-5684 Fax: 347-494-5641 | |
Marco Ortega, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8504 91st Ave, Woodhaven, NY 11421 Phone: 347-531-5494 | |
Evelina Braude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8305 98th St Apt 5s, Woodhaven, NY 11421 Phone: 917-385-9063 | |
Miss Shalimar Mariano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-847-4222 Fax: 718-441-4117 | |
Dax Xerxes Nepomuceno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95-25 Jamaica Ave., 1st Floor, Woodhaven, NY 11421 Phone: 718-441-4070 Fax: 718-441-4027 |