| Victoria Grace Shogren, DPT | |
|
100 Walter Ward Blvd Ste 200, Abingdon, MD 21009-1285 | |
| (443) 512-8337 | |
| (443) 327-5282 |
| Full Name | Victoria Grace Shogren |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 Walter Ward Blvd Ste 200, Abingdon, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265919591 | NPI | - | NPPES |
| 779501 | Other | PA | MEDICARE |
| 1035150340028 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | J1-0014503 (Delaware) | Secondary |
| 225100000X | Physical Therapist | PT026807 (Pennsylvania) | Primary |
| Provider Name | Innovative Physical Therapy And Fitness Centers Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710411558 PECOS PAC ID: 3870864648 Enrollment ID: O20170814000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Grace Shogren, DPT 2 Sycamore Dr, North East, MD 21901-3652 Ph: (443) 512-8337 | Victoria Grace Shogren, DPT 100 Walter Ward Blvd Ste 200, Abingdon, MD 21009-1285 Ph: (443) 512-8337 |
Align Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3435 Box Hill Corporate Center Dr Ste D, Abingdon, MD 21009 Phone: 908-458-3527 | |
Bryan Morrow, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Walter Ward Blvd Ste 200, Abingdon, MD 21009 Phone: 443-512-8337 | |
Dana Cross, M.S.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Walter Ward Blvd, Abingdon, MD 21009 Phone: 443-409-0051 Fax: 443-409-0058 | |
Kiersten Elizabeth Kilczewski, PT, DPT, CLT-LANA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Walter Ward Blvd, Abingdon, MD 21009 Phone: 443-409-0051 Fax: 443-409-0058 | |
Mrs. Melissa Tutas, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3465 Box Hill Corporate Center Dr, Suite G, Abingdon, MD 21009 Phone: 410-569-4806 Fax: 410-569-5474 | |
Jacquelin Landsman, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Upper Chesapeake Orthopedics: Center For Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 Phone: 443-643-1801 |