| Chinonso Modozie, | |
| 
					14501 Baltimore Ave, Laurel, MD 20707-4901  | |
| (301) 799-9466 | |
| (301) 799-9467 | 
| Full Name | Chinonso Modozie | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 14501 Baltimore Ave, Laurel, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114735149 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 215806 (Maryland) | Primary | 
| Provider Name | Evidence Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1831493030 PECOS PAC ID: 3779769971 Enrollment ID: O20110524000765  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chinonso Modozie, 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183 Ph: () -  | Chinonso Modozie, 14501 Baltimore Ave, Laurel, MD 20707-4901 Ph: (301) 799-9466  | 
Kristina Ling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009  | |
Yasaman Razavi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13946 Baltimore Ave, Laurel, MD 20707 Phone: 301-498-2212 Fax: 301-446-1647  | |
Susan Kruger,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100  | |
Ms. Michele Jacqueline Epps, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14502 Greenview Dr, St. 406, Laurel, MD 20708 Phone: 301-362-0114  | |
Leslie Goddard,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr, Suite 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009  | |
United Physical Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7634 N Arbory Way, Laurel, MD 20707 Phone: 301-919-4386  | |
Ms. Maria Laura Soto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14200 Laurel Park Dr, Laurel, MD 20707 Phone: 410-724-3423  |