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1500 E Jefferson St Rockville MD 20852-1501 | |
| (240) 283-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Physical Therapist |
| Location | 1500 E Jefferson St, Rockville, Maryland |
| Authorized Official Name and Position | Michele Lizear (DIRECTOR OF BUSINESS OFFICE) |
| Authorized Official Contact | 2402836013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1500 E Jefferson St Rockville MD 20852-1501 Ph: (240) 283-6000 | 1500 E Jefferson St Rockville MD 20852-1501 Ph: (240) 283-6000 |
| NPI Number | 1275307746 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 2264879758 |
|---|---|
| Medicare Enrollment ID | O20240611001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275307746 | NPI | - | NPPES |
| Provider Name | Marcy Ann Schlissel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104357953 PECOS PAC ID: 9931459732 Enrollment ID: I20210127002609 |
| Provider Name | Rithu Moideenkutty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104340876 PECOS PAC ID: 7719318682 Enrollment ID: I20210825002130 |
| Provider Name | Samirna Esteve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184107666 PECOS PAC ID: 5799182788 Enrollment ID: I20210917000395 |
| Provider Name | Adeline Assani-uva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528626751 PECOS PAC ID: 3577894039 Enrollment ID: I20241111002569 |
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